Assessor signature: Action required (Please tick) If you answered YES, record Action Points at STEP 4

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1 RECORD OF FIRE SAFETY RISK ASSESSMENT Building Name & Use: Address: Joan s Bed & Breakfast 56 Island View Road, Larne. BT56 7ZS Postcode: Name of person(s) with fire safety duties: Name and contact details of assessor: (Owner) Date of Assessment: 23 rd March 2011 Assessor signature: STEP 1 IDENTIFY FIRE HAZARDS (see list on back page) Sources of ignition, e.g. electrical fittings, smoking, heating, open flames Unguarded log burning fire in lounge. Sources of fuel, eg, furniture, textiles and fabrics LPG cylinder and large bottle of white spirit stored under fire escape staircase. Sources of oxygen, eg, ventilation Normal ventilation in premises from doors and windows. If you answered, record Action Points at STEP 4 STEP 2 IDENTIFY PEOPLE AT RISK List all persons potentially at risk from fire, including employees, tenants, visitors and contractors In addition to adults of all ages, including a specific group of disabled elderly adults who visit the premises annually, the premises also frequently accommodate children of all ages including infants accompanied by adults. If you answered, record Action Points at STEP 4 1 of 7

2 STEP 3 EVALUATE, REMOVE, REDUCE AND PROTECT FROM RISK Likelihood of a fire starting Sparks from open fire could cause fire. Evaluate the risk to people LPG cylinder could increase severity of fire. Flammable liquids, if not kept in secure storage, could be used to start a fire. Cardboard boxes stored within staircase (ground floor) partially blocking exit. If you answered, record Action Points at STEP 4 STEP 4 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN Fire Safety Policy (further guidance on Fire Safety Policy in Part Two of guide) has responsibility for fire safety measures in the premises. Emergency fire action plan Emergency procedures do not cover disabled guests. Fire safety information and training No Fire Action notice signs in guest bedrooms. If you answered, record Action Points at STEP 4 2 of 7

3 STEP 4 RECORD, PLAN, INFORM, INSTRUCT AND TRAIN (continued) Fire Drills No fire drills carried out. Maintenance of safety measure (for further guidance see Appendix A of relevant Risk Assessment guide) Fire alarm not being routinely checked. Several fire doors require Fire door- keep shut signs. Self closer on door of first floor bedroom has been removed. Fire exit sign needed at first floor corridor level. Fire extinguishers not wall mounted or positioned adjacent to storey exits. Recording information and keeping records Carry out and record weekly fire alarm tests. A Fire Safety Log book is required to demonstrate compliance with Fire Safety legislation and be available for inspection by Fire Service. If you answered, record Action Points at STEP 4 3 of 7

4 The assessor completing the following section should prioritise remedial measures, based on the level of risk. Priority ratings and suggested timescales: Low (L) 3 6 months (M) Up to 3 months (H) As soon as possible STEP 4 ACTION POINTS Priority Person responsible Completion date Provide a fireguard for log fire in lounge. Remove LPG cylinder and white spirit from below staircase and store securely in outside location. Fit self closer to bedroom door. Remove cardboard boxes from escape route and keep clear at all times. Fire alarm to be checked weekly and records kept. Fire Safety Log book required. Note: Please print additional sheet if required 4 of 7

5 The assessor completing the following section should prioritise remedial measures, based on the level of risk. Priority ratings and suggested timescales: Low (L) 3 6 months (M) Up to 3 months (H) As soon as possible STEP 4 ACTION POINTS Priority Person responsible Completion date Fire exit sign required on first floor. Provide Fire door- Keep Shut signs on self closing doors. Provide Fire Action notices in all guest bedrooms. Fire extinguishers to be wall mounted and located at storey exits. Fire emergency procedures to include measures to cover periods when disabled guests stay in premises. Note: Please print additional sheet if required 5 of 7

6 Review the fire risk assessment if there is a reason to suspect it is no longer valid or if there has been a significant change in the matters to which it relates. Reference Part One of the relevant sector specific, fire safety risk assessment guide STEP 5 ASSESSMENT REVIEW Review date March 2012 Review by Reason for review : Annual review Outcomes of review 6 of 7

7 FIRE SAFETY RISK ASSESSMENT GUIDES The following premises guides are available from Northern Ireland Fire & Rescue website Follow the Make sure you re Fire Safe link and go to Guidance Documents. These can be downloaded from the Communities and Local Government section. 1 Offices and Shops; 2 Factories and Warehouses; 3 Sleeping Accommodation; 4 Residential Care Premises; 5 Educational Premises; 6 Small and Places of Assembly; 7 Large Places of Assembly; 8 Theatres, Cinemas and Similar Premises; 9 Open Air Events and Venues; 10 Healthcare Premises; 11 Transport Premises and Facilities; 12 Animal Premises and Stables; 13 Means of Escape for Disabled People (Supplementary Code); and 14 Reducing the Number of False Alarms from Detection and Alarm Systems. Adapted from original materials created by the Scottish Centre for Healthy Working Lives and the Scottish Fire and Rescue Services 7 of 7