School Fire Risk Assessment Request

School Fire Risk Assessment Request
Submit this form to request a fire risk assessment for your school facility.
School Name
School Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Person Full Name
First NameLast Name
Contact Email
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Type of School Building
Number of Floors
Approximate Number of Occupants (students and staff)
Fire Safety Features Present
Other

Fire Risk Assessment Checklist

Rows	Yes	No	Not Sure
Are all fire exits clearly marked and accessible?
Are fire extinguishers regularly serviced?
Are emergency evacuation plans displayed?
Are electrical panels unobstructed?
Are combustible materials stored safely?
Are staff trained in fire safety procedures?

Preferred Assessment Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Comments or Specific Concerns
Should be Empty:

Select theme: