Fire Safety Risk Assessment Record Log Form
Use this form to record fire safety inspections, document risks, and note follow-up actions for your site.
Assessment/Site Name
*
Location/Area Inspected
*
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
First Name
Last Name
Type of Inspection
*
Please Select
Routine Inspection
Scheduled Assessment
Follow-up
Incident Investigation
Other
Fire Hazards Observed
*
Risk Level
*
Low
Medium
High
Actions Required
*
Person Responsible for Action
*
Follow-Up Date (if required)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Assessment
Should be Empty: