FIRE RISK ASSESSMENT REVIEW

Transcription

1 COVER SHEET REVIEW Employer or other Responsible Person: Address of Property: Person(s) Consulted: Assessor: Director of Estates in conjunction with Council & the Vice Chancellor Brotherhood Boiler House, University of Kent, Canterbury CT2 7NZ Estates, contractor and Security staff Andrew Briggs, MIFSM, MIIRSM Date of Fire Risk Assessment: 24th August 2010 Note: various inspections/surveys conducted in the course of this exercise were non-invasive and/or sampling exercises, and therefore not fully conclusive. Date of Previous Fire Risk Assessment: 9th June 2004 Suggested Date for Review: August 2012, or as per UoK SHEU official schedule, or in event of significant change Document dated 24th August 2010 Fire Risk Assessment in accordance with Publicly Available Standard PAS 79:2007 (British Standards Institute): Fire Risk Assessment - Guidance and a recommended methodology (with various additions)

2 COVER SHEET

3 GENERAL BUILDING DESCRIPTION 1.0 The Building 1.1 Number of floors Approximate floor area: Not reviewed at this time 1.3 Construction Details: Brick & block walls, Thermolite decking supported by steel beams, asphalted felt roofing. 1.4 Occupancy: Usually unoccupied, or one member of contractor's staff present. Security and other Estates functions occasionally use the first floor rooms. 2.0 The Occupants 2.1 Approximate maximum number: Not reviewed at this time 2.2 Maximum number of staff at any one time: Unlikely to be more than Maximum number of members of public: Nil, restricted area (Add more detail by area or room as appropriate) 3.0 Occupants at Special Risk 3.1 Sleeping occupants: Nil 3.2 Occupants with disabilities: None at time of assessment, but possible subject to specific assessment 3.3 Occupants in remote areas: Occasional on boiler room elevated gangways (see 17.2 vii) 3.4 Others: N/A 4.0 Fire Loss Experience 4.1 Fires in past 10 years: Nil 4.2 Cost of fire losses: N/A

4 GENERAL BUILDING DESCRIPTION 5.0 Other Relevant Information 5.1 Detail: N/A 6.0 Relevant Fire Safety Legislation 6.1 Primary statutory provisions etc: Regulatory Reform (Fire Safety) Order 2005, referred Official Guidance & related British Standards/Euro Norms 6.2 Enforced by: Kent Fire & Rescue Service 6.3 Other legislation significant to fire safety Fire Safety (Employees' Capabilities) (England) Regulations 2010 provisions in this building: 6.4 Enforced by: Kent Fire & Rescue Service

5 The following is based on BS 9999 concepts and principles, which may be used in conjunction with official guidance in assessing risks. Categories relevant to the building are highlighted. Assessment of risk is on a "probable" basis, recognising the degree to which this Fire Risk Assessment is based on sampling; undetected risks may exist. Occupant risk categories Risk category Description Comments A Occupants who are awake and Local staff; visiting contractors etc. briefed and familiarised familiar with the building B Occupants who are awake and unfamiliar with the building C Occupants who are likely to be asleep: Ci long-term individual occupancy Cii long-term managed occupancy Ciii short-term occupancy D Occupants receiving medical care E Occupants in transit Fire growth rate(s) Category Fire growth rate Typical fire growth parameter, kj/s3 1 Slow Most locations 2 Medium Fast Ultra-fast Locations (where specific) & categories Risk profile: A1 Management level therefore required: 2 (3 according to BS 9999) 1 = fully proactive; optimally staffed, controlled & resourced etc. See BS 9999:2008 section = reliably reactive; compliant with legislation & direct requirements ( 3 = N/A, less than compliant with legislation ) Environmental risks Fire-fighting water runoff and temporary release of combustion products to atmosphere only; no other environmental impact likely Heritage aspects Building does not have Listed status.

6 Business continuity (University) Business continuity (department) Considerable effect on University as a whole due to function (especially winter months). Serious effect.

7 FIRE HAZARDS INDE DETAIL ES NO N/A COMMENTS, CONTROL MEASURES REQUIRED ETC. FURTHER COMMENTS, DETAIL, CLARIFICATION ETC 7.0 Electrical Sources of Ignition Continue insofar as possible to maintain safe separation distance of ½ metre between appliances and combustible materials in all areas, to ensure that sources of heat do not arise from faulty or overloaded electrical equipment, to ensure that all electrical fuses and circuit breakers etc are of the correct rating and suitable for the purpose, and to switch equipment off at the end of the working day. 7.1 Reasonable measures taken to prevent fires of electrical origin? 7.2 Fixed installation periodically inspected and tested? Portable appliance testing carried out? Suitable policy regarding use of personal electrical appliances? Suitable limitation of trailing leads and adaptors? Continue to ensure PAT and fixed installation testing is carried out regularly. 8.0 Smoking 8.1, 2 Reasonable measures taken to prevent fires as a Provide statutory No Smoking sign at main entrance. Ensure University smoking policy continues to be implemented, result of smoking? Prohibited where appropriate? Arrangements for smokers? No evidence of breaches? publicised and enforced insofar as possible. 9.0 Arson 9.1, 2 Does basic security against arson by outsiders appear reasonable? Absence of fire load available for ignition by outsiders? (Proximity to or presence within building) CCTV in use. See also Portable Heaters & Heating Installations 10.1 Is the use of portable heaters avoided as far as practicable? 10.2 If portable heaters are used: is the use of the more hazardous type (e.g. radiant bar fires or lpg appliances) avoided? Are suitable measures taken to minimize the hazard of ignition of combustible materials? 10.3 Are fixed heating installations subject to regular maintenance? Continue to ensure that additional appliances are used only where strictly necessary and with management knowledge and control. Portable electrical heaters with open elements, such as fan or radiant heaters, must not be used Cooking 11.1 Are reasonable measures taken to prevent fires as a result of cooking? Is all essential maintenance up to date and recorded? 11.2 Are filters changed and ductwork cleaned regularly? Are suitable extinguishing appliances available? 12.0 Lightning 12.1 Does the building have a lightning protection system?

8 FIRE HAZARDS 13.0 Housekeeping 13.1 Is the standard of housekeeping adequate? Ensure a programme is introduced to improve housekeeping. Ensure that housekeeping programme continues to include prompt removal of combustible or hazardous materials and waste Are combustible materials separated from ignition Continue to maintain safe separation distance of ½ metre between sources of sources? heat and combustible materials throughout building Is there an avoidance of unnecessary accumulation of combustible materials or waste? 13.4 Is there appropriate storage of combustible materials? 13.5 Is there avoidance of inappropriate storage of combustible materials? Continue to ensure that combustible items are not present in the main entrance, being the sole escape route from the office and from the first floor. N Timber pallets and any other combustibles should be stored at least 8 metres from the fabric of the building. Escape routes should be maintained as fire-sterile as possible; this is especially critical in staircases and where there is no alternative direction of escape Outside Contractor, Building Works and Maintenance Hazards 14.1 Is there satisfactory control over works carried out in the building by maintenance personnel and outside contractors? 14.2, 3 Are adequate fire safety conditions imposed on outside contractors? As Appropriate control (including Permits To work where appropriate) administered by Estates Dangerous Substances 15.1 Have the hazardous properties of dangerous substances been considered? If relevant, has a risk assessment been carried out according to the Dangerous Substances and Explosive Atmospheres Regulations 2002? 15.2 Is there adequate information on safety provided by the supplier on any relevant safety data sheet? 15.3 Has account been taken regarding: the special, technical and organisational measures and the substances used and their possible interactions. the amount of the substance involved where the work will involve more than one dangerous substance, the risk presented by such substances in combination the arrangements for the safe handling, storage and transport of dangerous substances and of waste containing dangerous substances N (1) Cylinder of compressed Propane and carbuoy of 28% Hydrochloric Acid should be removed to suitable storage elsewhere or disposed of. (2) Risk assessment under DSEAR 2002 will be required if Propane is to be stored or used on these premises again. Not checked. (a) No other flammables are present. Other hazardous materials are compressed nitrogen and sodium hydroxide based corrosives, BW40 and BW50 (up to a dozen 25 litre containers in entrance lobby); otherwise small quantities of maintenance fluids etc. (b) Continue to ensure that any dangerous substances temporarily introduced (e.g. by contractors) are known and logged, that appropriate controls are in place, and that all relevant information can be made immediately available to the Fire & Rescue Service in the event of an emergency.

9 FIRE HAZARDS any other measures introduced as a result of the RRO 15.4 Are there safe systems of work for maintenance, where there is the potential for a high level of risk? 15.5 Are sufficient control measures in place to counter the likelihood that an explosive atmosphere will occur and its persistence including adjacent areas? 15.6 Are sufficient control measures in place to counter the likelihood that ignition sources, including electrostatic discharges, will be present and become active and effective 15.7 Has account been taken regarding the scale of the anticipated effects? 15.8 Is sufficient additional safety information available to enable the assessment to be completed? Outline plans should be drawn up of the locations and hazard classifications of dangerous substances (e.g. corrosives) that may pose a health risk to firefighters Other Significant Risks 16.1 Are there other significant ignition sources present? 16.2 Are there other significant fuels present? As Boilers and ancillary equipment have numerous faisafe controls applied in respect of fire and gas leakage.

10 FIRE PROTECTION INDE DETAIL ES NO N/A COMMENTS, CONTROL MEASURES REQUIRED ETC. FURTHER COMMENTS, DETAIL, CLARIFICATION ETC 17.0 Means of Escape from Fire Dead end conditions exist in all locations except the floor level of the boiler room itself Is it considered that the building is provided with reasonable means of escape in case of fire? Management should ensure that all room doors are routinely closed at all times when there is no person present in the room i Adequate design of escape routes? (Calculate for room and premises occupancy numbers & types, where relevant.) 17.2 i Is a suitable assembly point specified? Boiler House car park, no. 25. suppl ii Adequate provision of exits? (Calculate for room and premises occupancy numbers & types, where relevant.) 17.2 iii Are exits easily and immediately openable where necessary? (Alarm-linked features such as electronic door release mechanisms to be verified as compliant, functional and suitably failsafe) 17.2 iv Do escape exits open in the direction of escape where necessary? 17.2 v Avoidance of sliding or revolving doors as fire exits where necessary? 17.2 vi Are there satisfactory means for securing exits? The main entrance must remain unlocked at all times when any person is present vii Are there reasonable travel distances where Extended travel distance on boiler room high level gantry, but acceptable. there is a single direction of travel? 17.2 viii Are there reasonable travel distances where there is an alternative means of escape? 17.2 ix Is there suitable protection of escape routes? N (1) Fire doors protecting the entrance lobby should be suitably adjusted, upgraded and kept closed (unless automated) (see also 20.1 (2)). (2) Recommendation to fit automatic device (Dorgard permissible) to office door (see 17.2 ix suppl.) ix suppl Where automatic devices are fitted to designated fire doors, is appropriate automatic fire detection fitted? As proposed at 17.2 ix (2) above - no detection in room, but smoke detection several feet away in corridor so tolerable on a fire risk assessed basis x Suitable fire precautions for all inner rooms? 17.2 xi Are all escape routes unobstructed? N Clear obstructions from alternative exit from boiler room Is the building provided with reasonable arrangements for means of escape for occupants with disabilities? N Should any person with a disability need to enter the building, a prior assessment of means of escape, possible adjustments, and therefore accessibility or otherwise, must be made and strictly adhered to Measures to Limit Fire Spread and Development

11 FIRE PROTECTION 18.1 i Is it considered that there is compartmentation of a reasonable standard? (Including e.g. firestopping of service penetrations) 18.1 i Is there potential for fire spread between suppl. compartments through void spaces? 18.1 ii Is it considered that there is reasonable limitation of linings that may promote fire spread? N (1) Fire stopping of holes, gaps, service penetrations etc through fire resisting construction was noted as deficient in numerous locations (e.g. gaps around service penetrations through walls of entrance lobby) - remedial fire stopping should be undertaken throughout. (2) Designated fire doors must not be propped or wedged open at any time. Where there is an operational need, or where management cannot ensure that these doors remain closed at all times, automatic devices should be considered (e.g. office door, 17.2 ix (2) - but subject to specific fire risk assessment) ii Are escape routes suitably/tolerably fire sterile? N Very old noticeboard with combustible postings serves no current purpose and suppl. should be removed from staircase As far as can be reasonably ascertained, are fire dampers provided as necessary to prevent critical means of escape against passage of fire, smoke and combustion products in the early stages of a fire? 19.0 Escape Lighting 19.1 Is a reasonable standard of escape lighting provided? 20.0 Fire Safety Signs and Notices 20.1 Does the building have a reasonable standard of fire safety signs and notices? Not exhaustively verified. Subject to ongoing verification by Estates. (1) Fire action notices do not reflect University policy in respect of fire extinguisher use and should be amended (and a number of unnecessary duplicated signs reduced). (2) Fit "Fire Door Keep Closed" signs to all doors off entrance lobby and first floor landing. (3) Provide additional directional sign to boiler room alternative exit (adjacent to pump/high level warning bell) Means of Giving Warning in Case of Fire 21.1 Is a reasonable manually operated electrical fire alarm system provided? 21.2, 3 Is automatic fire detection provided in building? (Throughout building? Part(s) of building only?) Is the extent of automatic fire detection generally suitable for the occupancy and risk? Smoke detection in escape routes; some heat detection elsewhere Is there a remote transmission of alarm signal? N But alarm signal within building can be expected to be audible in Campus Watch offices. 21 suppl. Is the fire alarm system audible or perceptible 1 throughout the building? Appears adequate, subject to ongoing verification by Estates that 65dB is attained throughtout. 21 suppl. If unwanted fire alarm signals occur, are they 2 acceptably infrequent? Nil or negligible Portable Fire Extinguishing Appliances

12 FIRE PROTECTION 22.1 Is the provision of portable fire extinguishers reasonable? 22.2 Are hose reels provided? N Hose reel on back wall of boiler room is not for firefighting purposes Are all fire extinguishing appliances readily accessible? 23.0 Automatic Fixed Systems 23.1 Is there a suitable sprinkler or water based system, gaseous local application or total flooding provided that is adequate for the risk present? 24.0 Other Fixed Systems and Equipment 24.1 Are there suitable smoke control facilities for the risk present? 24 suppl. Is there suitable provision of a fire-fighters' switch(es) for high voltage luminous discharge tube signs etc? Has suitable notice of these been given to the Fire & Rescue Authority, including switch colouring and marking? N N

13 MANAGING FIRE SAFET INDE DETAIL ES NO N/A COMMENTS, CONTROL MEASURES REQUIRED ETC. FURTHER COMMENTS, DETAIL, CLARIFICATION ETC 25.0 Procedures and Arrangements 25.1 Fire safety is managed by: Director of Estates Are suitably and sufficiently competent persons appointed to assist in undertaking and ensuring the preventive and protective measures (i.e. relevant general fire precautions)? 25.3, 4 Is there a suitable record of fire safety arrangements? Procedures properly documented? Suitable arrangements for summoning the Fire & Rescue Service, meeting them on arrival and providing relevant information including that relating to hazards to fire-fighters? Suitable arrangements for ensuring that the premises have been evacuated? Suitable fire assemply point(s)? Adequate procedures for evacuation of persons with disabilities? N Provide, resource and implement a written Fire Emergency Plan covering all appropriate procedures, responsibilities and features of the building Are persons nominated and trained to use fire extinguishing appliances? 25.6 Are persons nominated and trained to assist with evacuation, including evacuation of persons with disabilities? 25.7 Is there appropriate liaison with the Fire & Rescue Service (e.g. any relevant notifications, familiarization visits etc) 25.8 Is a system of routine in-house, local inspections of fire precautions implemented? Only Campus Watch are nominated (completion of training currently pending). It is unlikely that any building occupants will require full training but consideration should be given to maintenance staff, contractors and the fire risks they are exposed to. Not applicable; minimal specialist staff; could be expected to account for each other reliably in the event of an evacuation. N Ensure that a system of local checks and inspections of fire safety features is implemented throughout all locations. Under BS5306-3:2009, fire extinguishers should be checked at least monthly and the results recorded. See also Training and Drills Appropriate fire safety training of contractors' staff should be verified Are all staff given adequate fire safety instruction and training on induction? 26.1 Are all students and/or visitors given adequate fire Continue to provide adequate fire safety information and instruction and suppl. safety information and instruction at an training to visitors/contractors at the earliest opportunity appropriate time?

14 MANAGING FIRE SAFET 26.2 Are all staff given adequate periodic fire safety refresher instruction and training at suitable intervals? 26.3 Does all staff training provide information, instruction or training on the following: fire risks in the building, fire safety measures, action in the event of fire and on hearing the alarm signal, operation of manual call points, location and use of fire extinguishers, means of summoning the Fire & Rescue Service, identity of persons nominated to assist with evacuation, identity of persons nominated to use fire extinguishing appliances? 26.4 Are staff with special responsibilities (e.g. fire marshals) given additional training? 26.5 Are fire drills carried out at appropriate intervals, and in accordance with official guidance? Repeat basic fire safety information at not less than yearly intervals, and provide full refresher training at not less than 3 yearly intervals. But see requirement at 26.0 above. Not appropriate for this building due to nil or minimal staffing When the employees or visitors of another employer work or are accommodated in the premises: 26.6 i Is the employer given appropriate information (e.g. on fire risks and general fire precautions)? 26.6 ii Is it ensured that the employees and visitors are provided with adequate instructions and information? 27.0 Inspection, Testing and Maintenance 27.1 Adequate maintenance and inspection of premises ~ It is suggested that condition and suitability of fire doors should be by competent persons? assessed at least every 5 years, and of fire stopping at least every 10 years Weekly testing and periodic servicing of fire detection and alarm system? 27.3 Monthly and annual testing routines for emergency lighting? 27.4 Annual maintenance of fire extinguishing appliances? 27.5 Periodic inspection of external escape staircases and gangways? 27.6 Six-monthly testing and annual inspection of rising mains and/or hydrants?

15 MANAGING FIRE SAFET 27.7 Weekly and monthly testing, six monthly inspection and annual testing of evacuation and/or fire-fighting lifts? 27.8 Weekly testing and periodic inspection of sprinkler installations? 27.9 Routine checks of final exit doors and/or security fastening? Annual inspection and test of lightning protection systems? Other relevant inspections or tests: (including e.g. ductwork dampers, fire shutters, venting systems, door holdback devices, electronic door release systems)? Implement regular routine checks of alternative exit door (under 25.8) Records 28.1 Are appropriate records kept for: 28.1 i Fire drills? 28.1 ii Fire training?? Provide and maintain records of fire safety training iii Fire alarm tests? 28.1 iv Emergency escape lighting tests? 28.1 v Maintenance and testing of other fire protection systems? 29.0 oung Persons Have the following matters been taken into particular account in risk assessment in respect 29.1 of young persons: the inexperience, lack of awareness of risks and 29.2 immaturity of young persons 29.3 the fitting-out and layout of the premises the nature, degree and duration of exposure to 29.4 physical and chemical agents the form, range, and use of work equipment and 29.5 the way in which it is handled; 29.6 the organisation of processes and activities the extent of the safety training provided or to be 29.7 provided to young persons risks from agents, processes and work listed in the Annex to Council Directive 94/33/EC on the 29.8 protection of young people at work 30.0 Behavioural Aspects

16 MANAGING FIRE SAFET Is there evidence from previous fire drills and other emergencies indicating that some occupants may be unaware, unwilling or fail to 30.1 evacuate? (Aside from disability-related) Is there evidence of disregard of fire safety provisions amongst building occupancy and/or 30.2 management? Is there evidence of significant human 30.3 interference with fire safety provisions? N N N

17 INDE DETAIL DESCRIPTION 31.0 Fire Strategy - building design/layout 31.1 The ground floor is divided into two fire compartments (boiler room and office suite, separated by entrance lobby and staircase); the first floor is a single fire compartment not separated from the entrance lobby The evacuation strategy is simultaneous and immediate for the entire building and all occupants The building is well provided with access routes for firefighting by the Fire & Rescue Service - a main access road and two dedicated fire roads provide approach on three sides of the building. Fire hydrants are available next to two adjacent buildings (Ingram and Library) and are maintained in an operational state Fire Strategy - systems 32.1 The fire alarm system provides for manual operation and automatic detection in order to give sufficiently early warning of fire to occupants Fire Strategy - particular risks 33.1 Aside from the boiler machinery which operates with various fire-related safeguard controls, the building presents a very low fire loading except in some areas of offices and stores Compressed nitrogen is present in the boiler room and stored against the oil tank bund wall. Alkaline corrosives are stored at the foot of the staircase (up to a dozen 25 litre kegs) No persons with disabilities are ever present (at time of writing). Thorough individual assessment will be required before any individual with a relevant disability accesses the building.

18 This simple risk level estimator is based on a more general health and safety risk level estimator in BS Assessment of risk is on a "probable" basis, recognising the degree to which this Fire Risk Assessment is based on sampling; undetected risks may exist. Potential consequences of fire Slight harm Moderate harm Extreme harm Fire hazard Low Trivial OR tolerable risk * Tolerable risk Moderate risk Medium Tolerable risk Moderate risk Substantial risk High Moderate risk Substantial risk Intolerable risk * at discretion of Fire Risk Assessor Taking into account the fire prevention measures observed at the time of this risk assessment, it is considered that the hazard from fire (probability of ignition) at this building is: Low / highly unlikely Medium / unlikely High / likely Taking into account the nature of the building and the occupants, as well as the fire protection and procedural arrangements observed at the time of this risk assessment, it is considered that the consequences for life safety in the event of fire would be: Slight harm - following completion of recommendations of this fire risk assessment Moderate harm Extreme harm In this context, a definition of the above terms is as follows: Slight harm: Moderate harm: Outbreak of fire unlikely to result in serious injury or death of any occupant (other than an occupant sleeping in a bedroom in which a fire occurs). Outbreak of fire could result in injury of one or more occupants, but it is unlikely to involve multiple

19 Extreme harm: fatalities. Significant potential for serious injury or death of one or more occupants. Accordingly, it is considered that the risk to life from fire at this building is: Trivial Tolerable - following completion of recommendations of this fire risk assessment Moderate Substantial Intolerable A suitable risk-based control plan should involve effort and urgency that is proportional to risk. The following risk-based control plan is based on one advocated by BS 8800 for general health and safety risks: Trivial Tolerable Moderate Risk Level Action and Timescale No action is required and no additional detailed records need be kept. No major additional controls required. However, there may be a need for consideration of improvements that involve minor or limited cost, and various corrective actions may be required. It is essential that efforts are made to reduce the risk. Risk reduction measures should be implemented within a defined time period. Where moderate risk is associated with consequences that constitute extreme harm, further assessment may be required to establish more precisely the likelihood of harm as a basis for determining the priority for improved control measures. Substantial Considerable resources may have to be allocated to reduce the risk. If the building is unoccupied, it should not be occupied until the risk has been reduced. If the building is occupied, urgent action should be taken.

20 Intolerable Building (or relevant area) should not be occupied until the risk is reduced. Any significant change, occurrence, finding or development should be reported immediately to the University s Safety, Health & Environment Unit so that mitigating action can be taken and this Fire Risk Assessment reviewed and updated. Important note: this assessment of risk is made on a probable or 'best endeavour' basis, since this report is based on a sampling exercise. It is possible that greater risks remain undetected in areas or aspects that have not yet been accessed or addressed.

21 ACTION PLAN ORGANISATION: University of Kent ASSESSOR: Andrew Briggs BUILDING: Boiler House DATE: 24th August 2010 ACTION PLAN It is considered that the following recommendations should be implemented in order to reduce fire risk to, or maintain it at, the following level: TOLERABLE Note - only acute/remedial/salient/particular items appear below. Various standard/general requirements relating to e.g. training, records and maintenance have not been carried forward to the Action Plan, but are nevertheless necessary - see previous worksheets. REFERENCE ACTION REQUIRED TO ELIMINATE OR CONTROL SIGNIFICANT HAZARDS PRIORIT * RESPONSIBILIT TARGET DATE COMPLETE See also Further Comments/Detail/Clarification etc. in previous worksheets, where relevant 6 figure numbers are Estates Helpdesk Work Requests or carried forward to: ( = Estates spreadsheet) 8.0 Smoking 8.1, 2 Provide statutory No Smoking sign at main entrance. 2A/B Housekeeping 13.4 Timber pallets and any other combustibles should be stored at least 8 metres from the fabric of the building. 2A/B Estates & contractor Immediate & ongoing 15.0 Dangerous Substances 15.1 (1) Cylinder of compressed Propane and carbuoy of 28% Hydrochloric Acid should be removed to suitable storage elsewhere or disposed of. (2) Risk assessment under DSEAR 2002 will be required if Propane is to be stored or used on these premises again Outline plans should be drawn up of the locations and hazard classifications of dangerous substances (e.g. corrosives) that may pose a health risk to firefighters. 2A/B 3A (1) Estates local management (2) Estates Estates local management Immediate & potential/ ongoing Short term 17.0 Means of Escape from Fire 17.2 ix (1) Fire doors protecting the entrance lobby should be suitably adjusted, upgraded and kept closed (unless automated) (see also 20.1 (2)). (2) Recommendation to fit automatic device (Dorgard permissible) to office door (see 17.2 ix suppl.). (1) 2A/B (2) 3A/B (1) Partly , also Estates & Contractor (2) Estates 17.2 xi Clear obstructions from alternative exit from boiler room. 1A Estates local management 18.0 Measures to Limit Fire Spread and Development Ongoing Immediate (2)

22 ACTION PLAN 18.1 i (1) Fire stopping of holes, gaps, service penetrations etc through fire resisting construction was noted as deficient in numerous locations (e.g. gaps around service penetrations through walls of entrance lobby) - remedial fire stopping should be undertaken throughout. (2) Designated fire doors must not be propped or wedged open at any time. Where there is an operational need, or where management cannot ensure that these doors remain closed at all times, automatic devices should be considered (e.g. office door, 17.2 ix (2) - but subject to specific fire risk assessment) ii suppl. Very old noticeboard with combustible postings serves no current purpose and should be removed from staircase. 2A/B (1) (2) Estates local management and Contractor 2A/B Estates local management (2) Ongoing Immediate to short term 20.0 Fire Safety Signs and Notices 20.1 (1) Fire action notices do not reflect University policy in respect of fire extinguisher use and should be amended (and a number of unnecessary duplicated signs reduced). (2) Fit "Fire Door Keep Closed" signs to all doors off entrance lobby and first floor landing. (3) Provide additional directional sign to boiler room alternative exit (adjacent to pump/high level warning bell). 2A/B (1) Estates (2), (3) (1) Short to medium term (1) 25.0 Procedures and Arrangements 25.3, 4 Provide, resource and implement a written Fire Emergency Plan covering all appropriate procedures, responsibilities and features of the building Ensure that a system of local checks and inspections of fire safety features is implemented throughout all locations. Under BS5306-3:2009, fire extinguishers should be checked at least monthly and the results recorded. See also A/B 2A/B Safety Unit & Estates Estates local management Short term Ongoing 26.0 Training and Drills 26.0 Appropriate fire safety training of contractors' staff should be verified. 3A/B Estates Short term * PRIORIT (N.B. to Fire Service College Fire Safety Engineering Division scale, not PAS 79) Category A. Fire Risk to Persons: 1A - A serious life safety risk and/or a major or serious contravention of current fire safety legislation. This matter requires immediate attention and must be given high priority. 2A - An important life safety issue and/or a contravention of current fire safety legislation and/or official guidance, that may lead to enforcement action if not addressed. This matter requires attention with the minimum of delay.