Slight Harm Moderate Harm Extreme Harm Low Trivial Risk Tolerable Risk Moderate Risk Medium Tolerable Risk Moderate Risk Substantial Risk

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Fire Risk Assessment: ABC Sample House Sample Road SA1 3M2 C J Sparks Ltd 13 Alexandra Gardens Carshalton SM5 4LJ T: 02077577457 W: www.cjsparks.com E: sales@cjsparks.com Ref: 3077 Action Plan Number Action Severity Done? 1 Keep records of testing for the smoke alarms, fire door maintenance and electrics 2 Ground floor flat fire door should have it's automatic closure reinstated C3 C3 C1: Immediately dangerous Should be actioned immediately without delay C2: Potentially dangerous Should be rectified in the next 6 weeks C3: Recommend improvement Should be rectified in the next 12 months 1) Risk Assessment Estimator Likelihood of Fire Potential consequences of fire Slight Harm Moderate Harm Extreme Harm Low Trivial Risk Tolerable Risk Moderate Risk Medium Tolerable Risk Moderate Risk Substantial Risk

High Moderate Risk Substantial Risk Intolerable Risk Taking into account the fire prevention measures observed at the time of this risk assessment, it is considered that the hazard from the fire (likelihood of fire) at these premises is: Low Taking into account the nature of the premises and the occupants, as well as the fire protection and procedural arrangements observed at the time of this fire risk assessment, it is considered that the consequences for life safety in the event of fire would be: Moderate Harm Accordingly, it is considered that the risk to life from fire at these premises is: Tolerable Risk 1.1) Comments 2) Images Missing door closer Escape ladder

3) Details 3.1) Responsible person ABC Sample House Ltd 3.2) Address of premises ABC Sample House Sample Road SA1 3M2 3.3) Assessor Christopher John Hudson 3.4) Date 05/08/15 3.5) Date of previous risk assessment if applicable ne 3.6) Suggested Date of Review 05/08/17 Signed: Date: 05/08/2015 4) Premises

4.1) Number of Floors 3 4.2) Approximate floor area m2 of all floors 31 4.3) Brief details of construction Traditional brick, lined with plasterboard 4.4) Use of premises Communal area 5) The Occupants 5.1) Approximate maximum number 10 5.2) Approximate number of employees at any one time 5.3) Maximum number of the public at any one time 10 5.4) Time/hours of occupation 24 hours 6) Occupants especially at risk from fire 6.1) Sleeping Occupants 6.2) Disabled Occupants although not currently 6.3) Occupants in remote areas including lone workers 6.4) Anyone under the age of 18 6.5) Others 7) Previous fire loss experience 7.1) Details

ne 7.2) Other relevant information ne 8) Fire safety legislation Regulatory reform (fire safety) order 2005 Electricity at work regulations 1989 Equality Act 2010 Fire hazards and their elimination or control 9) Electrical Sources of ignition 9.1) Reasonable measures to prevent fires of electrical origin? Fixed electrical installation inspected and tested? 10 years PAT testing carried out? FAT testing carried out? Suitable policy regarding the use of personal appliances? Limitation of trailing leads and adaptors? 9.2) Comments Fixed wiring tested, although no paperwork available to view. 10) Smoking

10.1) Suitable measures taken to prevent fires as a result of smoking? Smoking prohibited on premises? Smoking prohibited in appropriate areas? Suitable arrangements for those who wish to smoke? Policy observed at time of inspection? 10.2) Comments Smoking prohibited inside the building. Smoking is restricted to the outside only on the high street. 11) Arson 11.1) Is the security present reasonable to prevent arson? 11.2) Has any potential combustible materials been left close to the building that could pose an arson risk? 11.3) Comments CCTV by front entrance along with automatic lighting. Burglar alarm box present outside. Plans for a bin store are to be completed this year. 12) Portable heaters and heating installations 12.1) Is the use of portable heaters avoided as far as practicable? 12.2) If portable heaters are used: Is the use of the more hazardous type (e.g. radiant bar or LPG) avoided? Are suitable measures taken to minimize the hazard of ignition of combustible materials?

12.3) Are fixed heating installations subject to regular maintenance? 12.4) Comments heaters present. 13) Cooking 13.1) Are reasonable measures taken to prevent fires as a result of cooking? 13.2) Filters changed and ductwork cleaned regularly? 13.3) Comments 14) Lightning 14.1) Does the premises have a lightning protection system? 14.2) Comments 15) Housekeeping 15.1) Is the standard of house keeping adequate? Combustible materials appear to be separated from ignition sources? Avoidance of unnecessary accumulation of combustible materials and waste? Appropriate storage of hazardous materials? Avoidance of inappropriate storage of combustible materials? 15.2) Comments House keep is excellent with no visible items left out.

16) Hazards introduced by outside contractors and building works 16.1) Are fire safety conditions imposed on outside contractors? 16.2) Is there satisfactory control over works carried out on the premises by outside contractors (including 'hot work' permits)? 16.3) If there are in-house maintenance personnel, are suitable precautions taken during 'hot work', including use of 'hot work' permits? 16.4) Comments policies observed at the time of the inspection 17) Dangerous Substances 17.1) Are the general fire precautions adequate to address the hazards associated with the dangerous substances used or stored within the premises? 17.2) If. 17.1 applies, has a specific risk assessment been carried out, as required by the Dangerous Substances and Explosive Atmospheres Regulations 2002? 17.3) Comments 18) Other significant fire hazards that warrant consideration including process hazards that impact on general fire precautions 18.1) Hazards 18.2) Comments and deficiencies observed Fire protection measures 19) Means of escape from fire 19.1) Is it considered that the premises are provided with a reasonable means of escape in case of fire

Adequate design of escape routes? Adequate provision of exits? Exits easily and immediately open-able where necessary? Satisfactory means of securing exits? Reasonable distances of travel? Suitable protection of escape routes? Suitable fire precautions for all inner rooms? Escape routes unobstructed? Have fire doors been regularly inspected? Once yearly 19.2) It is considered that the premises are provided with reasonable arrangements for means of escape for disabled people on the ground floor 19.3) Comments The owner has confirmed that the ceilings and walls are a mix of 30 minute plasterboard and/or solid brick. The ground floor flat has had it's automatic closure disabled. There is a further escape onto the roof which allows access to a flat roof above and next door although there is no escape down from this. 20) Measures to limit fire spread and development 20.1) Is is considered that there is: Compartmentalisation of a reasonable standard

Reasonable limitation of lining that might promote fire spread 20.2) As far as can reasonably be ascertained, fire dampers are provided as necessary to protect critical means of escape against passage of fire, smoke and combustion products in the early stages of fire? 20.3) Comments Compartmentalisation is of reasonable standard. 21) Emergency Escape Lighting 21.1) Reasonable standard of emergency escape lighting system provided? 21.2) Comments ne required due to windows on each and every floor 22) Fire Safety signs and notices 22.1) Reasonable standard or fire safety signs and notices? 22.2) Comments Fire safety signs on the 3 rd floor. The remaining areas, the design is simple enough that further signage isn't needed. 23) Means of giving warning in case of fire 23.1) Reasonable manually operated electrical fire alarm system provided? 23.2) Automatic fire detection provided? 23.3) Extent of automatic fire detection generally appropriate for the occupancy and fire risk? 23.4) Remote transmission of alarm signals?

Once yearly along with battery change 23.5) Comments Fire alarm system incorporates all areas, tested yearly along with battery changes. Records not kept. 24) Manual fire extinguishing appliances 24.1) Reasonable provision of portable fire extinguishers? 24.2) Class A fire risk applicable? (e.g. Solids wood, coal etc) Rating required Class A Extinguishers provided? Details 24.3) Class B fire risk applicable? (e.g. Flammable liquids) Class B Extinguishers provided? Details 24.3) Class C fire risk applicable? (e.g. Flammable Gases) Class C Extinguishers provided? Details 24.4) Class D fire risk applicable? (e.g. Flammable Metals)

Class D Extinguishers provided? Details 24.5) Class F fire risk applicable? (e.g. Cooking Oils) Class F Extinguishers provided? Details 24.6) Hose reels provided? 24.7) Dry Risers provided? 24.8) Wet Risers provided? 24.9) Are all fire extinguishing appliance readily accessible? Comments, none required 25) Relevant automatic fire extinguishing systems 25.1) Type of system

25.2) Comments, ne required 26) Other Relevant fixed systems and equipment 26.1) Type of fixed system 26.2) Comments 26.3) Suitable provision of fire fighters switch(es) for high voltage luminous tube signs etc 26.4) Comments Management of Fire Safety 27) Procedures and arrangements 27.1) Fire Safety is managed by Mario Di Placido 27.2) Competent person(s) appointed to assist in undertaking the preventive and protective measures (I.e relevant general fire precautions)? ne currently 27.3) Comments competent persons employed at present. 27.4) Is there a suitable record of the fire safety arrangements? 27.5) Comments records available. 27.6) Appropriate fire procedures in place? 27.7) Are procedures in the event of fire appropriate and properly documented?

27.8) Are there suitable arrangements for summoning the fire and rescue service? 27.9) Are there suitable arrangements to meet the fire and rescue service on arrival and provide relevant information, including that relating to hazards to fire-fighters? 27.10) Are there suitable arrangements for ensuring that the premises have been evacuated? 27.11) Is there a suitable fire assembly point(s)? 27.12) Are there adequate procedures for evacuation of any disabled people who are likely to be present? 27.13) Comments 27.14) Persons nominated and trained to use fire extinguishing appliances? 27.15) Comments fire marshals or wardens trained currently. 27.16) Persons nominated and trained to assist with evacuation, including evacuation of disabled people? 27.17) Comments plan in place for evacuation of disabled people, although this should be straight forward as they can only access the ground floor area. 27.18) Appropriate liaison with fire and rescue service (e.g by fire and rescue service crews visiting for familiarization visits)? 27.19) Comments ne of the procedures are documented although calling fire brigade is written on the wall at one fire sign. 27.20) Routine in-house inspections of fire precautions (e.g in the course of health and safety inspections)? 27.21) Comments

ne in place currently 28) Training and drills 28.1) Are all staff given adequate fire safety instruction and training on induction? 28.2) Comments 28.3) Are all staff given adequate periodic 'refresher training' at suitable intervals? 28.4) Comments 28.5) Does all staff training provide information, instruction or training on the following: Fire risks in the premises? 28.6) The fire safety measures on the premises? 28.7) Action in the event of fire?, verbally 28.8) Action on hearing the fire alarm signal?, verbally 28.9) Method of operation of manual call points? 28.10) Location and use of fire extinguishers? 28.11) Means of summoning the fire and rescue service? 28.12) Identity of persons nominated to assist with evacuation? 28.13) Identity of persons nominated to use fire extinguishing appliances? 28.14) Comments documented training but there is no staff.

28.15) Are staff with special responsibilities (e.g fire wardens) given additional training? 28.16) Comments 28.17) Are fire drills carried out at appropriate intervals? 28.18) Comments 28.19) When the employees of another employer work in the premises: Is their employer given appropriate information (e.g on fire risks and general fire precautions)? 28.20) Is it ensured that the employees are provided with adequate instructions and information? 28.21) Comments 29) Testing and maintenance 29.1) Adequate maintenance of the premises? 29.2) Comments and deficiencies observed Documentation missing 29.3) Weekly testing and periodic servicing of the fire detection system? although yearly 29.4) Comments and deficiencies observed Documentation missing 29.5) Weekly and annual testing routines for emergency escape lighting? 29.6) Comments and deficiencies observed 29.7) Annual maintenance of fire extinguishing appliances?

29.8) Comments and deficiencies observed 29.9) Periodic inspection of external staircases and gangways? 29.10) Comments and deficiencies observed 29.11) Six monthly inspection and annual testing of rising mains? 29.12) Comments and deficiencies observed 29.13) Weekly and monthly testing, six monthly inspection and annual testing of fire-fighting lifts? 29.14) Comments and deficiencies observed 29.15) Weekly testing and periodic inspection of sprinkler installations? 29.16) Comments and deficiencies observed 29.17) Routine checks of final exit doors and/or security fastenings? 29.18) Comments and deficiencies observed 29.19) Annual inspection and test of lightning protection system? 29.20) Comments and deficiencies observed 29.21) Are suitable systems in place for reporting and subsequent restoration of safety measures that fallen below standard? 29.22) Comments and deficiencies observed system exists

29.23) Other relevant inspections or tests: 29.24) Comments 30) Records 30.1) Fire drills? 30.2) Fire training? 30.3) Fire alarm tests? 30.4) Emergency escape lighting tests? 30.5) Maintenance and testing of other fire protection systems? 30.6) Comments documentation