Care Home Fire Risk Assessment Checklist Form
Use this form to document the care home fire risk status, identify hazards, and record actions needed. Title: Care Home Fire Risk Assessment Checklist. Meta description: Care Home Fire Risk Assessment Checklist for care home fire safety inspection.
Care Home Name and Location
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Full Name
*
First Name
Last Name
Overall Fire Risk Status
*
Low
Moderate
High
Are all fire exits clear and accessible?
*
Yes
No
Are fire extinguishers and safety equipment present and in good condition?
*
Yes
No
Are emergency lighting and fire alarms operational?
*
Yes
No
List any identified fire hazards
Actions required to address hazards or improve fire safety
Inspector's confirmation (tick to confirm all information is accurate)
*
I confirm the above information is accurate.
Submit Checklist
Should be Empty: