Workplace Fire Risk Assessment

Workplace Fire Risk Assessment
Evaluate and document fire safety risks and controls in your workplace.
Assessment Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Workplace Name
Workplace Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Person Name
First NameLast Name
Contact Email
example@example.com
Fire Hazards Assessment
Rows Risk Level Comments
Flammable materials storage
Electrical equipment
Heating sources
Escape routes
Fire Safety Measures Present
Other
How would you rate overall fire safety in the workplace?
Are all staff trained in fire safety procedures?
If no, please explain what training is needed.
Additional Comments or Recommendations
Should be Empty:

Rows	Risk Level	Comments
Flammable materials storage
Electrical equipment
Heating sources
Escape routes