Useful Fire Safety Forms


SOURCES OF IGNITION PRESENT

Potential source of origin

 

Location

Action to reduce hazard

Lightening

 

 

 

 

 

 

 

.

Electrical wiring/appliances
 
 

 

 

 

 

 

 

.

Cooking
 
 

 

 

 

 

 

 

.

Use of flames
 
 

 

 

 

 

 

.

Other forms of hot work
 
 

 

 

 

 

 

.

Heaters and hot surfaces
 

 

 

 

 

 

.

Smoking Materials
.
Mechanical processes
.
Friction
.
Static electricity
.
Materials liable to self-heating
.
Other
.

 

COMBUSTABLE MATERIALS PRESENT
 

Combustible materials

Location

Action to reduce hazard

Materials used during business operations

.
Materials stored
(including packaging materials)
.
Furniture and furnishings
.

Combustible fixtures and fittings

.

Combustible elements of the structure

.
Flammable liquids
(including cooking oils)
.

Flammable/compressed gases
.
Aerosol containers
.
Other forms of fuel
.
Dusts and powders
.
Chemicals
.
Other combustible materials
.
 
PEOPLE WHO ARE PRESENT

People

Number

Agility / awareness

Trained

 

Staff

Yes/No

Temporary Staff

Yes/No

Customers

Not applicable

Other visitors

Yes/no/not applicable

Contractors

Yes/no/not applicable

 
 
PEOPLE-RELATED SERVICES PROVIDED

Service

Present

Number of people

Location

 

Sleeping accommodation

Yes/no

 
 

.

Creche/nusery accommodation

Yes/no

 
 

.

Sheltered accommodation/care services

Yes/no

 
 

.

Medical services

Yes/no

 

.

Other services

Yes/no

 

.


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