HFORM13: Fire Risk Assessment¶
Form Reference: HFORM13 Version: 1.0 Classification: CRGI Information Form Owner: Sean Ashton, Operations Manager Purpose: Systematic assessment of fire hazards and risks in workplaces per Regulatory Reform (Fire Safety) Order 2005 and HPOL18. Identifies persons at risk, existing controls, and determines action priorities to eliminate or reduce fire risk to tolerable levels.
Document Control¶
| Version | Date | Author | Changes |
|---|---|---|---|
| 1.0 | 10/03/2026 | Sean Ashton | Initial creation |
1. Assessment Details¶
| Field | Details |
|---|---|
| Assessment Reference | FR-____-______ |
| Assessment Date | ________________ |
| Assessor Name & Competency | ________________ |
| Premises/Location Name | ________________ |
| Location Type | ☐ Home office ☐ Client site ☐ Shared workspace ☐ CRGI office |
| Building Address | ________________ |
| Responsible Person (Fire Safety) | ________________ |
| Next Review Date | ________________ |
| Review Frequency | ☐ Annually ☐ Every 2 years ☐ Following incident/change |
2. Building/Location Details¶
| Field | Details |
|---|---|
| Type of premises | ☐ Single storey ☐ Multi-storey (_____ floors) ☐ Shared building |
| Total occupancy | ____ persons (typical maximum) |
| Construction type | ☐ Brick/concrete ☐ Steel frame ☐ Wood/mixed ☐ Unknown |
| Building age | ____ years |
| Age of last electrical safety test | ____ years ago |
| Fire alarm system present | ☐ Yes (Type: ________) ☐ No ☐ Planned |
| Emergency lighting installed | ☐ Yes ☐ No ☐ Planned |
| Fire safety certificate/approval | ☐ Yes ☐ No ☐ Not applicable |
| Plans/documentation available | ☐ Yes (Location: ________) ☐ No |
3. Fire Hazards Identification¶
Ignition Sources¶
Identify all potential sources of ignition:
☐ Smoking – Cigarettes, e-cigarettes ☐ Cooking facilities – Kettle, microwave, toaster, cooker ☐ Electrical equipment – Overloaded circuits, faulty wiring, worn cables ☐ Hot work – Soldering, welding, cutting, grinding ☐ Heating equipment – Heaters, boilers, radiators ☐ Lighting equipment – Halogen lights, lamps near combustibles ☐ Friction/mechanical – Machinery friction, impact ☐ Natural – Spontaneous combustion, chemical reactions ☐ Other: ________________________________________________________________
High-risk ignition sources present: ☐ Yes ☐ No
If yes, specify: ________________________________________________________________
Fuel Sources¶
Identify all combustible materials:
☐ Paper & cardboard – Documents, packaging, storage boxes ☐ Textiles – Curtains, soft furnishings, clothing ☐ Plastics – Cable insulation, furniture, containers ☐ Timber – Furniture, fixtures, structures ☐ Flammable liquids – Cleaning chemicals, fuels, solvents ☐ Gases – LPG, oxygen, compressed gases ☐ Combustible dust – Saw dust, grain, powder coatings ☐ Other combustible materials: ________________________________________________________________
Fuel loading assessment: ☐ Low ☐ Moderate ☐ High – Total volume: ____________________
Excess fuel to be removed: ☐ Yes ☐ No
Structural Hazards¶
☐ Poor compartmentation – Fire can spread between areas ☐ Lack of fire doors – No fire-rated doors ☐ Open staircases – Unenclosed vertical shafts ☐ Inadequate sealing – Gaps in fire-rated barriers ☐ Maintenance issues – Deteriorated fire-resistant materials ☐ Other: ________________________________________________________________
4. People at Risk¶
Identify all categories of persons who may be at risk:
| Category | Number | Special Circumstances |
|---|---|---|
| Staff members | ____ | ☐ Trained ☐ Untrained ☐ Language barriers |
| Visitors/clients | ____ | ☐ Frequent ☐ Infrequent |
| Contractors | ____ | ☐ Induction provided ☐ Not induction |
| Vulnerable persons | ____ | ☐ Mobility issues ☐ Visual impairment ☐ Hearing impairment ☐ Pregnant ☐ Young workers ☐ Other |
Total maximum occupancy: ____ persons
Special provisions needed for vulnerable persons: ☐ Yes ☐ No
If yes, specify: ________________________________________________________________
5. Existing Fire Safety Measures¶
Assess effectiveness of current fire safety provisions:
| Fire Safety Measure | Status | Maintenance | Comments |
|---|---|---|---|
| Fire Detection System | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Type: ________________ |
| Fire Alarm System | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Type: ________________ |
| Emergency Lighting | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Coverage: ______________ |
| Fire Extinguishers | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Qty: ____ Types: _______ |
| Fire Blankets | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Location: ______________ |
| Emergency escape routes | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Width: ________________ |
| Fire doors (self-closing) | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Qty: ____ Tested: _____ |
| Fire-safety signage | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Illuminated: ☐ Y ☐ N |
| Fire action notices | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Visible: ☐ Y ☐ N |
| Emergency assembly point | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Location: ______________ |
| Fire safety training | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
% staff trained: ____ |
| Fire drills/testing | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Frequency: ____________ |
| Fire risk assessment | ☐ Y ☐ N ☐ Partial |
☐ Current ☐ Overdue |
Last completed: ______ |
Adequacy of Measures¶
| Measure | Adequate | Issue | Priority |
|---|---|---|---|
| Detection | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
| Alarm | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
| Emergency lighting | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
| Extinguishers | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
| Escape routes | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
| Fire doors | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
| Signage/notices | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
| Training | ☐ Y ☐ N | ________________ | ☐ H ☐ M ☐ L |
6. Fire Risk Rating¶
Risk Assessment (per HPROC01 – Likelihood × Consequence)¶
Likelihood of fire occurring:
☐ High – Multiple ignition sources, plentiful fuel, minimal controls ☐ Medium – Some ignition sources, fuel present, some controls ☐ Low – Few ignition sources, limited fuel, good controls
Consequence if fire occurs:
☐ Severe – Could cause death, serious injuries, building loss ☐ Moderate – Could cause injuries, partial building damage ☐ Minor – Could cause minor injuries, minimal damage
Risk Matrix Scoring:
| Severe | Moderate | Minor | |
|---|---|---|---|
| High | ☐ Critical (16) | ☐ High (12) | ☐ Medium (8) |
| Medium | ☐ High (12) | ☐ Medium (6) | ☐ Low (3) |
| Low | ☐ Medium (6) | ☐ Low (3) | ☐ Low (2) |
Overall Fire Risk Level: ________________
Risk Acceptability:
☐ Acceptable – Continue monitoring ☐ Tolerable – Action plan required ☐ Unacceptable – Urgent action required
7. Actions Required¶
| Issue Identified | Action Required | Owner | Target Date | Cost Est. | Priority |
|---|---|---|---|---|---|
| ________________ | ________________ | ________________ | __________ | _____ | ☐ High ☐ Med ☐ Low |
| ________________ | ________________ | ________________ | __________ | _____ | ☐ High ☐ Med ☐ Low |
| ________________ | ________________ | ________________ | __________ | _____ | ☐ High ☐ Med ☐ Low |
8. Emergency Procedures¶
Evacuation Plan¶
| Item | Details |
|---|---|
| Primary escape route | ________________ |
| Secondary escape route | ________________ |
| Assembly point location | ________________ (distance from building: ____ m) |
| Evacuation procedures documented | ☐ Yes (Reference: ________) ☐ No |
| Evacuation procedure posted | ☐ Yes ☐ No |
| Regular drills conducted | ☐ Yes – Frequency: ______ ☐ No |
| Last drill date | __________ |
| Drill findings/improvements | ________________ |
Fire Wardens¶
| Role | Name | Trained | Location |
|---|---|---|---|
| Fire Warden – Primary | ________________ | ☐ Y ☐ N | ________________ |
| Fire Warden – Secondary | ________________ | ☐ Y ☐ N | ________________ |
| Fire Safety Officer | ________________ | ☐ Y ☐ N | ________________ |
Fire warden training last completed: __________ Next refresher due: __________
Emergency Contacts¶
| Service | Number | Notes |
|---|---|---|
| Fire Service (Emergency) | 999 | Dial immediately on alarm |
| Site Emergency Contact | ________________ | ________________ |
| Local Fire Station | ________________ | Non-emergency number |
| Building Manager/Key holder | ________________ | ________________ |
9. Fire Safety Training & Awareness¶
| Training Component | Status | Frequency | Attendance % |
|---|---|---|---|
| Induction – Fire safety basics | ☐ Delivered ☐ Overdue | ☐ New starters ☐ All staff | ____ % |
| Fire extinguisher use (practical) | ☐ Delivered ☐ Overdue | ☐ Annual ☐ 2-yearly | ____ % |
| Evacuation procedure | ☐ Delivered ☐ Overdue | ☐ Annual ☐ 2-yearly | ____ % |
| Fire warden training | ☐ Delivered ☐ Overdue | ☐ Annual ☐ 2-yearly | ____ % |
Next fire safety training date: __________________
10. Maintenance & Testing Schedule¶
| Item | Test Type | Frequency | Last Test | Next Due | Contractor |
|---|---|---|---|---|---|
| Fire alarm | ☐ Visual ☐ Functional | Monthly | __________ | __________ | ________________ |
| Emergency lighting | Battery test | Monthly | __________ | __________ | ________________ |
| Fire doors | Function test | 6-monthly | __________ | __________ | ________________ |
| Fire extinguishers | Inspection | Annual | __________ | __________ | ________________ |
| Electrical systems | PAT testing | Annual | __________ | __________ | ________________ |
11. Assessment Sign-Off¶
| Role | Name | Signature | Date |
|---|---|---|---|
| Completed By | |||
| Reviewed By | |||
| Approved By |
12. Supporting Documents¶
Attached to this assessment:
☐ Fire safety plan/procedures ☐ Building plans with escape routes marked ☐ Fire extinguisher inventory & inspection records ☐ Fire alarm test records ☐ Emergency lighting test certificates ☐ Electrical test certificates (PAT) ☐ Fire safety training records ☐ Fire drill records & findings ☐ Building construction details ☐ Photographs (fire safety features)
13. Compliance Statement¶
I confirm that this fire risk assessment has been completed in accordance with the Regulatory Reform (Fire Safety) Order 2005 and best practice guidance. All identified risks have been evaluated and control measures determined.
Assessment validity: This assessment remains valid until reviewed or a significant change occurs.
RETENTION: 7 years (or until superseded) STORAGE: RA004 Fire Risk Assessment file + Secure SharePoint – /HSQEMS/FireRiskAssessment/ ACCESS: Operations Manager, Fire Safety Officer, Management, Regulator on request CLASSIFICATION: CRGI Information
Related Documents: HPOL18, RA004, HPROC16, Emergency Procedures
END OF FORM