fire risk assessment report - university of sunderland · 2. statement of fire risk assessment:...

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Fire Risk Assessment

Report

St.Mary's Nursery, Chester Road, Sunderland,

SR1 3SD

Carried out by: Mr. J. Stephenson On behalf of: University of Sunderland Dates of Assessment: 12th. February 2009

(This document requires to be reviewed at least annually)

“Regulatory Reform(Fire Safety) Order 2005 (The Order) John Stephenson and Associates. “Thorntree Farm”, 10 Russell Square, Seaton Burn, Newcastle upon Tyne. NE13 6HR

Tel.0191 2363735, Mobile 07960 262944. Fax 0191 2363735. e-mail [email protected]

REVIEW DATE NAME OF PERSON COMPLETING THE REVIEW

December 2010 M. Swinburne

December 2011 M. Swinburne

JOHN STEPHENSON AND ASSOCIATES

FIRE SAFETY/TRAINING CONSULTANTS

mailto:[email protected]

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(1) On behalf of John Stephenson & Associates: John Stephenson Signature & Date ……………………………………………………… (2) On behalf of Facilities (Estates Services): Assistant Director Facilities (Estates Services) Signature & Date ……………………………………………………… (3) On behalf of Building Users: Assistant Director Facilities (Campus Services) Signature & Date ……………………………………………………… (4) On behalf of Health, Safety & Environment Team: Head of Health, Safety & Environment Signature & Date ………………………………………………………

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CONTENTS SECTION TITLE PAGE 1. Fire Risk Assessment Process 4 2. Statement of Fire Risk Assessment 4 3. Summary of Premises 5 4. Type of Building 6 5. Use of Premises 6 6. Named Responsible Persons 6 7. Summary of Risk Assessment Findings 7 8. Assessing the Individual Risks 8 9. Fire Safety Audit Checklist & Summary Fire Risk 10

Assessment Outcomes

10. Fire Risk Assessment & Action Plan 14

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1. Fire Risk Assessment Process: There are 5 key steps to fire risk assessment, as documented in ‘Fire safety risk assessment – sleeping accommodation’ (Department for Communities and Local Government Publications, 2006). Step 1 – Identify fire hazards: Identify:

Sources of ignition

Sources of fuel

Sources of oxygen Step 2 – Identify people at risk: Identify:

People in and around the premises

People especially at risk Step 3 – Evaluate, remove, reduce and protect from risk:

Evaluate the risk of a fire occurring

Evaluate the risk to people from fire

Remove or reduce fire hazards

Remove or reduce the risks to people o Detection and warning o Fire fighting o Escape routes o Lighting o Signs and notices o Maintenance

Step 4 – Record, plan, inform, instruct and train:

Record significant finding and action taken

Prepare an emergency plan

Inform and instruct relevant people; co-operate and co-ordinate with others

Provide training Step 5 – Review:

Keep assessment under review

Revise where necessary

2. Statement of Fire Risk Assessment: This risk assessment is made under the requirements of the Regulatory Reform (Fire Safety) Order 2005. In addition to the existing control measures, completion of this risk assessment and the associated follow-up actions will ensure conformance with the standards set out in the BS 5588 series and the Department for Communities and Local Government publication: ‘Fire Safety Risk Assessment. Where appropriate and necessary the assessment included the consideration of sections 1-6, 8, 9, and 11 of the Dangerous Substances and Explosive Atmospheres Regulations 2002 (DSEAR) and other legislation relevant to the premises.

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The risk assessment should be available for inspection or validation by any authorised person, and should be reviewed; Following a change of work practice, Following a significant change of staffing level, Following any structural or material change to the premises or processes conducted, Following any change in the fire precautions in the premises, Following any near miss or fire incident, At recommended intervals of no more than twelve months, * The hazards and/or risks identified (if any) in each section of this document increase the risk to life and/or property safety in and around the areas assessed. The additional controls, recommendations and actions given for each section in the action plan/summary section of the document should be dealt with accordingly to bring the assessed areas up to the required standard to reduce the risk to a level which is acceptable in the circumstances. Additionally, in accordance with The Regulatory Reform (Fire Safety) Order 2005, responsible persons must, among other things, ‘provide his employees with comprehensive and relevant information on the risks to them identified by the risk assessment, the preventative and protective measures taken and the procedures and measures, which are in place for serious and imminent danger. Before employing a young person the responsible person must, provide the parents of that young person with among other things, comprehensive and relevant information on the risks identified by the risk assessment, the preventative and protected measures taken and the procedures and measures, which are in place for serious and imminent danger. The responsible person must also co-operate with other relevant responsible persons (sharing the same occupancy) and inform them of relevant risks in his undertaking. References:

1. PAS 79 ‘Fire Risk Assessment – Guidance and recommended methodology’ (BSI) 2. Fire Safety risk assessments (ODPM) 3. Fire risk assessments (IOSH) 4. Regulatory Reform (Fire Safety) Order 2005

* See front of document for recommended review date.

3. Summary of Premises: Introduction St. Mary’s Building is an former educational building that provides Nursery and Office Accommodation. General Information The occupancy levels tend to vary throughout the day and can be occupied from early morning (domestic staff) to early evening. It provides typical Nursery activities and office facilities on the ground and first floor, having the usual storage and toilet facilities. The building is protected by Automatic Fire Detection (Addressable/Zonal) and has Emergency Lighting and Fire Doors fitted

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throughout. Lightning conductors are not provided. All chemicals etc. have been COSHH assessed and procedures are in place for all aspects of the tasks carried out. The Local Authority Fire Brigade are aware of the risks involved. External bin compounds are located in an enclosed yard at the rear the building.

4. Type of Building: At the time of assessment the construction of the building assessed was of traditional construction of part brick part stone, having wood floors and tiled roof. Area to be risk assessed: 516m2

5. Use of premises: At the time of assessment the building is used for Day Nursery catering for Number of Children? With ages ranging from…… to……… Occupancy: Staff, students and visitors Numbers employed: Staff - 18

Numbers likely to resort to premises: visitors/children - 30

6. Named Responsible Persons: (This section is to be kept updated and any changes recorded) Ultimate responsibility for the assessed premises lies with the Vice Chancellor via the Deputy Vice Chancellor (Resources). Nominated responsible person for the assessed premises – Bev Oughtred Note: Responsibility for complying with the “Order” rests with the “responsible person” in a workplace. This is the employer and any other person who may have control of any part of the premises, e.g. the occupier or owner. In all other premises the person or people in control of the premises will be responsible. If there is more than one responsible person in any type of premises (e.g. a multi occupied complex), all must take reasonable steps to co-operate and co-ordinate with each other. (“page 5 Guide to the Regulatory Reform Order 2005”).

7. Summary of Risk Assessment Findings:

1. Life Risk Medium 2. Building Risk Low 3. Standard of Fire Safety Management Good

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4. Standard of Book and Record Keeping Satisfactory 5. Fire Training Records Good

6. Occupants at Special Risk Disabled occupants: Staff/Children - as advised. Disabled members of the public may access premises without restrictions

7. Fire Loss Experience: None The persons and property at risk is considered to be all persons and the whole building for any fire incident. It is accepted that persons in the room and the immediate vicinity of the incident are at immediate risk.

8. Assessing the Individual Risks: In order to assign priority to the risks identified, assessors must determine how likely the threat posed by each hazard is to happen. The simplest method of carrying out this prioritisation exercise is through the use of the matrix below. In this matrix, assessors need firstly to determine how serious the hazard is (is it life threatening or merely an annoyance). This allows the assessor to place the hazard on the severity scale of the matrix (Low – Very High), running an imaginary line vertically from this placement gives one series of reference points. Assessors now need to determine the probability of the threat actually happening (is it likely to happen almost daily, or is it unlikely to ever happen). Once this probability has been determined an imaginary line can be horizontally run from the identified probability on the left of the matrix to where it meets the imaginary vertical line already run from the severity scale. Where the two lines cross gives the resultant prioritisation for action to be taken (see Risk Matrix). Key to Assessment of Risk and Recommendations for Action Risks have been assigned the following categories:- Low – whilst a risk exists the existing arrangements provide adequate control, however additional cost-effective controls may be considered to further improve organisational confidence Medium – the existing arrangements provide some measure of control, however additional cost-effective controls should be considered to provide the necessary organisational confidence High – the existing arrangements are below the accepted standards and additional controls are required to be implemented to achieve the necessary standards Very High - the existing arrangements are below the accepted standards and immediate additional controls are required to be implemented to achieve the necessary standards Actions within the Plan, have been assigned the following categories:- Urgent – indicates that the action is required, because the current arrangements do not meet required standards and pose a foreseeable risk to life and/or property if not addressed

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Required – indicates that the actions are necessary to achieve legislative standards, and should be included within an appropriate programme of work Strongly recommended and recommended – indicates that the actions reflect good practice, or are considered to be appropriate cost-effective actions which will further reduce the risk to life and property. What individuals are at risk within these premises? University staff, students, visitors, members of the public, contractors (both site based & non-site based) and NHS staff.

Risk Matrix:

Likelihood

Very Likely Could occur on a daily basis, or at least more than once per week

4 8 12 16

Likely Could occur more than once a month.

3 6 9 12

Unlikely Could occur within a year

2 4 6 8

Remote Only likely to occur once in a lifetime

1 2 3 4

Low negligible or light smoke inhalation

only

Medium light to heavy

smoke inhalation

High heavy smoke

inhalation & risk of burns

Very High risk of serious injury or death

Severity

Risk Rating & Action Priority Key:

RISK LEVEL: ACTION PRIORITY:

Very High Risk Immediate action to be completed (Required urgently)

High Risk Action to be completed promptly, preferably within 3 months (Required)

Medium Risk Action to be completed, preferably within 6 months (Strongly recommended)

Low Risk Action to be completed within 12 months (Recommended)

Low Risk No action required

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Action Responsibilities Key: Responsible Party

Responsible Manager Types of Actions Arising From FRAs

Facilities Assistant Director Facilities (Estate Services)

Infrastructure & technical fire systems

Faculties / Services

HS&E Strategic Leader / Designated Building Manager

Building user issues

HS&E Team Head of Health, Safety & Environment

Organisational & procedural arrangements

What individuals are at risk within these premises? University staff, visitors, members of the public, contractors (both site based & non-site based)

9. Fire Safety Audit Checklist & Summary Risk Assessment Outcomes Name of Organisation: University of Sunderland Address of Premises: Chester Road Campus. Building Number/Name and/or Department: St. Mary's Nursery, Sunderland, SR1 3SD

Date of Audit: 13th. January 2009 Audit undertaken by: Mr. J. Stephenson

NA Yes No Q Risk

1 FIRE PRECAUTIONS: REGULATORY REFORM (Fire Safety) ORDER 2005 (a) Have appropriate risk assessments been carried out in accordance with the

requirements of these regulations? √

(b) Have the assessments been properly recorded? √

(c) Have all necessary risk reduction/risk control measures been introduced? √

(d) Have staff been trained/retrained to provide for these measures? √

(e) Have risk reduction/risk control measures been monitored to ensure suitability and effectiveness?

√

(f) Are there procedures in place to ensure that the risk assessment is reviewed periodically or sooner if alterations are made to the premises, etc?

√

(g) Is there a plan of the premises indicating escape routes, location of fire fighting equipment, alarm system information, emergency lighting, risk storage areas Mains services switch gear etc.

√

2 FIRE PREVENTION – GENERAL

(a) Is there a system for controlling the quantities, safe use and storage of combustible and/or flammable substances (materials, liquids and gases) on the premises?

√

(b) Is the above system and its controls operating properly?

√

(c) Is the workplace clean and tidy with combustible waste materials and rubbish placed in designated containers?

√

(d) Is waste and rubbish collected regularly and placed in safe and secure receptacles outside the premises?

√

(e) Are all designated ‘smoking’ areas clearly indicated? √

(f) Do smoking areas have suitable facilities for the disposal of smoking materials which are emptied regularly?

√

(g) Are "No Smoking" rules rigorously enforced? √

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NA Yes No Q Risk

(h) Are employees working in high-risk areas (eg areas where ‘hot’ processes or flammable/combustible liquids/gases are used) aware of the risks and the safety procedures to adopt?

√

(i) Is all upholstered furniture in good condition?

√

(j) Prior to leaving the premises, are all rooms and areas inspected to check for fire risks and that electrical appliances have been switched off?

√

(k) Have appropriate measures been taken to reduce the risk of arson? √

(l) Have all staff received basic fire prevention instruction? √

(m) Do staff understand the need to report any potential fire hazards? √

(n) Do staff understand the role of self-closing and other fire-resisting doors (ie the need to keep them closed and free of obstruction to ensure that they will control the spread of fire and smoke)?

√

(o) Are all fire-resisting and smoke-stop doors, especially those on hold-open devices, closed at night?

√

(p) If any permit-to-work systems are in place, are they operated correctly at all times?

√

3 FIRE PREVENTION - ELECTRICAL INSTALLATION, APPLIANCES, ETC

(a) Have all electrical systems and equipment been tested in accordance with the provisions of the Electricity at Work Regulations 1989?

√

(b) Are records regarding regular testing of installation, equipment and portable appliances up to date?

√

(c) Is flexible electrical cable used safely (e.g. use kept to a minimum and only short lengths used)?

√

(d) Is there NO evidence of overloading of electrical circuits? √

(e) Is electrical equipment (e.g. light bulbs / fittings and any electrical heating appliances) kept well away from combustible materials?

√

(f) Are staff aware that only trained personnel authorised by management can make repairs or alterations to electrical systems and equipment?

√

(g) Where appropriate is there protection from lightning? √

4 FIRE PREVENTION – HEATING AND COOKING APPLIANCES, ETC

(a) Are all heating appliances safe (e.g. securely fixed in position, suitably guarded, and with an adequate clear space free of storage of any kind)?

√

(b) Are all cooking appliances safe (e.g. securely fixed in position, properly maintained and used only for their originally intended purpose)?

√

(c) Are arrangements for liquid/gaseous fuel supplies for heating and cooking equipment adequate (e.g. easily accessible with well marked shut-off valves)?

√

(d) Are appropriately qualified/registered contractors used to carry out all installation and maintenance of liquid/gaseous fuel supply equipment?

√

(e) Are staff aware that only trained personnel authorised by management can make repairs or alterations to liquid/gaseous fuel-fired equipment and fuel supply systems?

√

5 BUILDINGS, PLANT AND MACHINERY

(a) Are all fire/smoke barriers in good condition (e.g. with any openings for pipes ducts, etc properly protected by provision of fire-resisting materials or fire dampers?)

√

(b) Are fire dampers tested regularly for correct operation and results recorded? √

(c) Are there proper systems and procedures in place to control work on new buildings and/or alterations, repairs and decoration of premises, such that no fire hazards are introduced?

√

6 ESCAPE FACILITIES

(a) Are fire exits sufficient (i.e. a sufficient number and of sufficient width) to enable the people present in any and all areas to evacuate safely?

√

(b) Do all final exits lead to a place of safety? √

(c) Are all fire exits readily available? √

(d) Are all final exits and intermediate doors easily operable from the inside without the use of a key?

√

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NA Yes No Q Risk

(e) Are all corridors, gangways and stairways forming part of escape routes free from obstruction and not used for storage?

√

(f) Are floor and stairway surfaces in good condition and free from tripping and slipping hazards (including any external stairs and paths)?

√

(g) Are fire-resisting and smoke-stop doors in good condition, with fully operating self-closing devices and the doors closing fully onto rebates?

√

(h) Do all doors on escape routes open in the direction of travel? √

(i) Are all escape routes provided with adequate lighting at all times when building is occupied.

√

(j) Is adequate emergency lighting provided and is it fully tested monthly(in house) and serviceable? (SEE 12ii )

√

(k) Have appropriate provisions been made for the safety of persons with disabilities, e.g. assistance, refuges?

√

7 FIRE ACTION AND EMERGENCY EVACUATION

(a) Are there clearly defined written fire action and emergency evacuation procedures, including provision for role calls?

√

(b) Are there “PEEPS” (Personal emergency evacuation plan) in place and are they adequate and reviewed?

√

(c) Are all employees fully aware of these procedures and their own particular duties and responsibilities in the event of an evacuation?

√

(d) Are suitable ‘Fire Action’ notices prominently displayed around the premises (including on the room side of all hotel and similar bedroom doors)?

√

(e) Have appropriate staff been instructed to summon the fire brigade for all fires, no matter how small?

√

(f) Are there sufficient fire wardens available to provide for all working hours (including lunch and tea breaks) taking into account holidays and sick leave?

√

(g) Have appropriate arrangements been made for dealing with those who are not normally on the premises (e.g. visitors and contractors)?

√

(h) Are the fire evacuation assembly areas in safe locations, clear of the building and away from fire brigade vehicle access and parking?

√

(i) Are there alternative evacuation areas available in the event that the nominated ones are not available?

√

(j) Are emergency evacuation drills carried out at least once per year? √

(k) There are NO young persons employed (for definition see page 132 of guide) √

8 FIRE DETECTION AND ALARM SYSTEMS

(a) Can a fire alarm be raised without placing anyone in danger? √

(b) Is the fire alarm system in full working order? √

(c) Are there fire alarm call points located adjacent to every exit from each floor and from each building?

√

(d) Are all alarm call points unobstructed and clearly visible? √

(e) Are the audible signals from the fire alarm operated weekly and clearly audible throughout the premises?

√

9 FIRE FIGHTING EQUIPMENT

(a) Is there adequate provision of portable fire extinguishers which are of suitable type for the fire risks where they are positioned?

√

(b) Are all portable fire extinguishers and fire blankets suitably located, positioned on brackets securely fixed to the wall and available for immediate use (not obstructed or hidden)?

√

(c) Are the locations of all portable fire extinguishers and fire blankets clearly identifiable even without the provision of appropriate signs?

√

10 NOTICES AND SIGNS.

(a) Are appropriate notices and signs of the type 'Fire Door Keep Closed' provided on all visible sides of all fire-resisting and smoke-stop doors?

√

(b) Are appropriate 'pictogram' notices provided on all fire exit doors and routes such that at least one sign is always visible for all points on an exit route?

√

(c) Do all ‘panic bar' fire exit doors have suitably positioned 'Push Bar to Open' signs? Do all ‘panic bar', ‘push pad’ fire exit doors have suitably positioned, current standard 'Push Bar to Open' , ‘Push Pad to Open’ signs?

√

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NA Yes No Q Risk

11 FIRE SERVICE FACILITIES AND LIAISON

(a) Is there adequate access to the site and all buildings to enable Fire Brigade vehicles to get close enough for fire-fighting and rescue purposes?

√

(b) Are all fire hydrants in the vicinity clearly indicated and accessible? √

(c) Is the Fire Brigade familiar with the premises? √

(d) Have the Fire Authority for the area been informed of any hazardous materials or other issues which may pose a threat during fire fighting operations e.g. Biochemical, radiation etc.?

√

(e) Have environmental risks from fire occurring been assessed? √

12 TESTING AND MAINTENANCE BY QUALIFIED PERSON/COMPANY

(a) Are the required regular tests and maintenance carried out on.

(i) fire detection and alarm systems? 02.04 (Facilities) √

(ii) emergency lighting systems? √

(iii) fire extinguishers? 10.08 (Peterlee Fire) √

(iv) automatic sprinkler systems? √

(v) other fixed suppression systems installed? √

(vi) smoke and smoke/heat control systems? √

(vii) automatic closing doors, shutters, etc? √

(viii) emergency generators? √

(ix) evacuation and fire-fighting lifts? √

13 RECORDS

(a) Is a dedicated (in-house) record kept in the Fire Management File of:

(i) fire alarm actuations, servicing and tests, 02.08 (Facilities) √

(ii) emergency light tests, servicing and checks, √

(iii) staff fire safety training, √

(iv) fire evacuation drills √

(v) fire extinguisher/hose reels checks and tests, √

(vi) servicing and testing of the fixed fire fighting installations provided, √

(vii) means of escape checks, √

(viii) tests of automatic door release mechanisms, √

(ix) tests of acoustic door holding devices, (Dorgard) √

(x) tests of automatic, mechanical ventilation systems, √

(xi) portable electrical appliance tests, √

(xii) checks of any portable lamps or torches. √

Are copies of the fire risk assessment and the emergency action plan kept in a safe place away from the premises?

√

Actions Summary Table:

Action Risk Rating

Number of Actions

Very High 0

High 1

Medium 9

Low 13

Low – no action required 71

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FIRE RISK ASSESSMENT and ACTION PLAN

Observation Risk Level

Remedial Action Recommended HS&E Strategic

leader

Lead Co- ordinator

Target Completion

Date

Comments

1. FIRE PRECAUTIONS: REGULATORY REFORM ORDER (Fire Safety) ORDER 2005 (a) Appropriate risk assessments have not been carried out in accordance with the requirements of these regulations.

M Ensure a fire risk assessment is carried out, that it is recorded and a copy kept in the Fire Safety Management File, a further copy should be held be held in a place of safety from the premises.

HS&E Team

Assessment and review

process in place

(g) There was no plan of the premises indicating Fire Safety related information

L A plan of the premises should be provided which should indicate all fire safety features relating to the building this would include:- Escape routes, lines of fire resistance, fire alarm and emergency lighting, signs and notices, fire fighting equipment, service shut off points and any specific risk areas.

Facilities

Strategic lead

No progress

2. FIRE PREVENTION - GENERAL b) The system for controlling the quantities, safe use and storage of combustible and/or flammable substances (materials, liquids and gases) on the premises is not effective/operating correctly. Observations:

M Review and amend the system, make all relevant staff aware of the changes during training.

Facilities

Strategic lead

Bev Oughtred

Toilet – Is being used as a storage facility. M Either remove the same or provide a fire door. Educate staff/room users.. Monitor.

Facilities Strategic lead

Bev Oughtred

Staff Room – The settee is not of current standard.

M Remove/replace the same.


Bev Oughtred

Butterfly Room Cloakroom – Is on the means of escape routes and holds a large amount of flammable materials (clothing)

M Consider the re-locating of the cloakroom facility.


Bev Oughtred

(j) No procedure exists for the inspection of all rooms and areas Prior to leaving the premises to check for fire risks and that electrical appliances have been switched off.

M Design a procedure and allocate responsibility to particular staff (eg. fire wardens/heads of department/shift leaders etc.) the procedure should be incorporated in Normal Operating Procedures, be recorded in a Fire Safety Management File and form part of Staff Fire Safety Training.


Bev Oughtred

(k) There is no Arson Prevention policy in place.

M Create an Arson Prevention procedure. The procedure should be incorporated in Normal Operating Procedures, be recorded in a Fire Safety Management File and form part of Staff Fire Safety Training.


Not completed yet due to other priorities

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3. FIRE PREVENTION - ELECTRICAL INSTALLATION, APPLIANCES, ETC (c) Flexible electrical cables were not used safely (eg use kept to a minimum and only short lengths used)

Observations:

M Create and implement a procedure for the safe use of flexible electric cables. The procedure should be incorporated in Normal Operating Procedures, be recorded in a Fire Safety Management File and form part of Staff Fire Safety Training.


Bev Oughtred

Strip adaptors are in common use in the premises.

M If the need for the sockets is of a permanent nature then consider the provision of more fixed sockets. Ensure that they are not “piggy backed”, that the cables are clipped to the skirting, the adaptor is fixed to the wall and the recommended loading of the adaptor is not exceeded.


Bev Oughtred

5. BUILDINGS, PLANT AND MACHINERY (a) Not all fire/smoke barriers are in good condition (e.g. with any openings for pipes ducts, etc properly protected by provision of fire-resisting materials or fire dampers?).

M .


Bev Oughtred

Survey yet to be undertaken

Electrics cupboard – There are holes in the ceiling caused by cable runs not being made good.

M Make good the same with an intumescent material Facilities Strategic lead

Bev Oughtred

“

6. ESCAPE FACILITIES (g) Fire-resisting and smoke-stop doors in the premises in do not conform with current standards. Observations:

M

A survey of Fire Resistant doors should be carried out by a suitably qualified person to ensure such doors comply with current regulations. Any defects / repairs / replacement identified should be carried out and a programme of regular inspection, repair and maintenance implemented.


Bev Oughtred

“

First Floor – Kitchen – The intumescent strip is damaged and it has not been provided with cold smoke seals.

M Provide and fit the same.


Bev Oughtred

“

Office – has not been provided with intumescent strips and cold smoke seals.



Bev Oughtred

“

Ground floor. Playscheme room – The door has not been provided with cold smoke seals



Bev Oughtred

“

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Laundry – There are two lengths of intumescent strips and cold smoke seals missing and the strips and seals in the heal of the door have been painted over

M Replace the same. Remove the paint .


Bev Oughtred

“

(j) The emergency lighting provided in the following areas appeared inadequate. Observations:

M A survey of the Emergency lighting provision in these areas should be undertaken by a suitably qualified person. Any recommendations in the ensuing report should be implemented. A copy of the report should be kept in the Fire Safety Management File.


Bev Oughtred

“

Accessible Toilet – There is no emergency light or visual warning device in the toilets including the disabled toilet

M Provide and fix the same.

Facilities Phil Marsh

Bev Oughtred

“

External Escape Routes.. - It is likely that the lighting provided does not meet current standards throughout the external escape routes.

M Provide and fix the same.


Bev Oughtred

“

7.FIRE ACTION AND EMERGENCY EVACUATION (a) Appears to be no clearly defined written fire action and emergency evacuation procedures, including provision for role calls?

M Develop and implement a suitable Fire Action Plan and Emergency Evacuation Procedure. The procedure should include provision for a roll call with persons responsible clearly identified. The plan should be written, recorded in a Fire Safety Management File and form part of Staff Fire Safety Training. Where specific responsibilities are allocated specific training should be provided for such staff. The Staff Fire Instructions need to be reviewed to include the proposed delayed response procedure, as well as the Fire Warden Duties, A section for Fire Fighting Equipment, Peeps, The Duties of Domestic Staff with a view to the daily monitoring and reporting of- Fire Fighting Equipment, Emergency Lights, Fire Alarm Equipment, Signage, Fire Doors(operating correctly) and Housekeeping


Bev Oughtred

(d) Suitable ‘Fire Action’ notices were not prominently displayed around the premises.

L A survey of the provision of Fire Action notices should be undertaken by a suitably qualified person. Any recommendations in the ensuing report should implemented. A copy of the report should be kept in the Fire Safety Management File.


Bev Oughtred

(f) There are insufficient fire wardens available to provide for all working hours (including lunch and tea breaks) taking into account holidays and sick leave.

M The provision of Fire Wardens should be reviewed by a competent person and sufficient persons identified and trained to provide for suitable numbers of wardens being available during times when the premises is occupied.


Bev Oughtred

(j) There was no evidence that emergency evacuation drills are carried out at least once per year.

M Fire Evacuation drills should be carried out at least once per year. The drill should be observed and comments recorded in writing regarding any shortcomings. The drill forms part of the Staff Fire Safety Training


Bev Oughtred

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and the record should be kept in the Fire Safety Management File. Any shortcomings identified should be rectified.

8. FIRE DETECTION AND ALARM SYSTEMS (a) A fire alarm cannot be raised in the following areas without placing anyone in danger.

Observations:

H The premises, by virtue of its use, attracts fairly high numbers of members of the public/children who are liable to be not only very young but possibly strangers to the building. It is also possible that a fire could break out in the circulation spaces when all occupants are room based. Therefore, it is strongly recommended that consideration is given to the provision of an L1 type fire alarm system with automatic detection, installed to the requirements of British Standard 5839 part 1. Early warning of fire is desired to ensure that all occupants are given adequate time to evacuate in an emergency. It is further recommended that this system be linked into the auto-dialler system, therefore giving early indication of fire out of hours. The Fire alarm provision in these areas should be reviewed by a suitably qualified person. Any recommendations mentioned in the ensuing report should be implemented. A copy of the report should be kept in the Fire Safety Management File.


Bev Oughtred

There is no provision of automatic detection in the Kitchen, Mains Electrics and other cupboards and circulation spaces.

H As above Facilities Strategic lead

Bev Oughtred


The accessible toilets have not been provided with a visual warning device

M Provide the same Facilities Strategic lead

Bev Oughtred

“

9. FIRE FIGHTING EQUIPMENT (a) The provision of portable fire extinguishers of suitable type for the fire risks where they are positioned adequate appears inadequate in the following areas. Observations:

M The portable fire extinguisher provision in these areas should be reviewed by a suitably qualified person. Any recommendations mentioned in the ensuing report should be implemented. A copy of the report should be kept in the Fire Safety Management File.


Bev Oughtred

There is no provision of CO2 extinguishers on the first floor.



Bev Oughtred


The Kitchen has not been provided with a Fire Blanket.

M Provide and fit the same Facilities Strategic lead

Bev Oughtred

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The CO2 ext. located in the Ladybird room would be better situated adj. to the Foam Spray ext. in the circulation space

M Consider re-locating the same. Facilities Strategic lead

Bev Oughtred

10. NOTICES AND SIGNS. (a) Notices and signs of the type 'Fire Door Keep Closed' were not provided on all visible sides of all fire-resisting and smoke-stop doors and notices stating Fire Door Keep Locked Shut, were not provided for all cupboard/services doors.'

L

Provide notices of the type 'Fire Door Keep Closed' /Fire Door Keep Locked Shut” on all visible sides of all fire-resisting and smoke-stop doors.


Bev Oughtred


(c) Not All ‘panic bar'/push pad” fire exit doors have suitably positioned 'Push Bar/pad to Open' signs.

L Provide push bar/pad notices on all doors fitted with push bar facilities. Notices should conform to current standards.


Bev Oughtred

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Office – sign indicates “Push Bar” and should indicate “Push Pad”

L Replace existing sign with one that conforms to current standard. Facilities Strategic lead

Bev Oughtred

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Fire Exit Door from the Playscheme – Has an old standard sign.

L Replace existing sign with one that conforms to current standard. Facilities Strategic lead

Bev Oughtred

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(d) listed are the deficiencies in signage which should be rectified. Any old standard signs are to be removed. Observations:

L A review of the fire safety signage provided should be undertaken by a suitably qualified person. Any recommendations should be implemented and a copy of any report and action taken should be kept in the Fire Safety Management file.


Bev Oughtred

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Gates to the service road – “Fire Exit Door Keep Clear” on the outside of the same

L Facilities Phil Marsh

Bev Oughtred

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“Wayfinding” general upgrade required.. L Facilities Strategic lead

Bev Oughtred

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12. TESTING and MAINTENANCE (a) There was no evidence at the time of assessment to show that the required regular tests and maintenance had been carried out on:-


Bev Oughtred

(ii) Emergency lighting systems. M Whilst there is evidence of a bi-annual full test and inspection of the emergency light system. There is no evidence that a system for weekly visual inspection of the emergency light fittings for correct operation and cleanliness which is recorded has been implemented. Or a monthly test to simulate a failure of the supply and show that each lamp illuminated and which is recorded. Such a system should be devised and implemented.


Bev Oughtred

Ongoing discussions resource issues

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13. RECORDS (a) There was no evidence at the time of the assessment that dedicated records of the following were being kept:-


Bev Oughtred

(vii) Means of escape checks. L Records of all periodic checks made on the means of escape should be kept in the Fire Safety Management File.


Bev Oughtred

Part of revised fire log book forms

fire risk assessment report - university of sunderland · 2. statement of fire risk assessment:...

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