Example of a fire assessment record and action plan

Appendix 14.1 Example of a fire risk assessment record and action plan 

FIRE RISK ASSESSMENT RECORD Acme Company Ltd Number  

Risk assessment for Assessor s name Joe Bloggs Date of assessment Review date 

Overall assessment of risk HIGH NORMAL LOW Circle as appropriate  

Primary hazards Persons at risk Risk rating (H,M,L) Control measures in place (Control measures required) Action yes/no 

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