Fire Risk Assessor Application Form
Name
*
First Name
Last Name
Contact email address
*
example@example.com
Contact phone number
*
Home address
*
Address 1
Address 2
Town
County
Postcode
Current employment status
*
Employed
Self-employed
Business name (if you are registered as a business)
Locations where you are available to work
*
Any locations you are unable to cover (for example if you are in the fire service)
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Disclosure & Barring Service
Have you undergone a DBS (Disclosure & Barring Service) check?
*
Yes
No
Was your DBS check:
*
Basic
Standard
Enhanced
When was your DBS check carried out?
*
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Certificates & Courses
Please provide details of any relevant certificates you hold or courses you have attended.
*
Certificate/Course name
Awarding body
Dates
CPD hours
1
2
3
4
5
6
Please provide details of any relevant certificates you hold or courses you have attended. Click the + button to add more rows.
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Experience
Please provide details of your work experience.
*
Job title
Company name
Dates
Brief description of main duties
1
2
3
4
5
6
Please provide details of your work experience. Click the + button to add more rows.
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Memberships & Accreditations
Please list any memberships or accreditations you hold (for example IFE or IFSM).
Membership/Accreditation
Dates
Level
Membership No
Expiry Date
1
2
3
4
5
6
Please list any memberships or accreditations you hold (for example IFE or IFSM). Click the + button to add more rows.
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Insurances
Do you hold any of the following insurance policies:
*
Professional Indemnity
Public Liability
None of the above
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Assessing
Please indicate your experience of assessing the following
*
Experienced in assessing
Would consider assessing with support
Do not want to assess
Communal areas < 10 flats
1
2
3
Communal areas > 10 flats
4
5
6
Communal areas > 10 flats / multi storey or blocks
7
8
9
Small retail unit
10
11
12
Restaurants/Takeaways/Small pubs
13
14
15
Large hotels > 50 / Large pubs with accommodation
16
17
18
Small accommodation - Holiday let/B&B
19
20
21
HMOs
22
23
24
Large student accommodation blocks
25
26
27
Small schools / nurseries <50
28
29
30
Large schools / multiple blocks > 100
31
32
33
Warehouses - Lower risk/storage
34
35
36
Industrial with machinery (higher risk)
37
38
39
Care homes
40
41
42
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Data Protection
Please indicate which of the following you consent to if your application be successful.
I agree to my data being stored for the purposes of FireRiskAssessments.com processing
I agree to my data being shared with Safe Contractor and BAFE for FireRiskAssessments.com accreditation
I agree to my data being shared with clients where requested
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