IFE Register of Fire Risk Assessors

Application Form

PLEASE CLICK GREY AREA, KEY IN INFORMATION, PRINT AND SIGN.

ALTERNATIVELY, PRINT OFF THE FORM, WRITE IN BLOCK CAPITALS AND SIGN.

SURNAME / FIRST NAME(S) / TITLE
DATE OF BIRTH (dd/mm/yy) / CURRENT IFE MEMBERSHIP GRADE AND NUMBER (IF APPLICABLE)
GENDER / ENGINEERING COUNCIL REGISTRATION NUMBER (IF APPLICABLE)
NON-IFE POST NOMS / Are you interested in Engineering Council registration and would like further information? Yes No
HOME ADDRESS / HOME TELEPHONE
PERSONAL MOBILE
HOME E-MAIL
POSTCODE
Select preferred correspondence details: / HOME OR WORK
CURRENT EMPLOYER’S NAME AND ADDRESS
POSTCODE / WORK MOBILE
JOB TITLE / WORK TELEPHONE
REPORTING TO / WORK E-MAIL
DATE EMPLOYMENT STARTED (dd/mm/yy) / WEBSITE
PROFESSIONAL INDEMNITY INSURER
POLICY NUMBER / POLICY EXPIRY DATE
AREA OF INVOLVEMENT:
COMMERCIAL
OR
INTERNAL TO ORGANISATION / IF YOU HAVE A RECOGNISED DISABILITY THAT YOU FEEL MAY NEED TO BE TAKEN INTO CONSIDERATION, PLEASE TICK THIS BOX AND WE WILL PROVIDE YOU WITH FURTHER GUIDANCE:
(NOTE: EVIDENCE FOR THESE CONDITIONS WILL BE REQUESTED)
ACADEMIC QUALIFICATIONS
Please note: If you are a registered CEng or IEng with the IFE you do not need to complete this section
PROVIDER/AWARDING BODY / NAME OF QUALIFICATION/COURSE TITLE / YEAR OBTAINED

Please continue on a separate sheet if necessary.

Issued 05/18Page 1 of 8File: FRR Application Form v11

CPD – RECORD OF PREVIOUS 2 YEARS OF TRAINING, COURSES ATTENDED AND CONTINUING PROFESSIONAL DEVELOPMENT (Please continue on a separate sheet if necessary and / or attach a printout of your relevant personal or professional Training / CPD record). Minimum requirement of 25 hours per year.
Date / Time (actual) hrs / Theme and Activity / Learning points: How they can be applied
Formal / Informal
TOTAL / hrs / hrs
GRAND TOTAL / hrs

Issued 05/18Page 1 of 8File: FRR Application Form v11

SPECIFIC FIRE RISK ASSESSMENT TRAINING
NAME OF COURSE PROVIDER
NAME OF COURSE
COURSE START DATE / COURSE END DATE
COURSE OBJECTIVES
NAME OF COURSE PROVIDER
NAME OF COURSE
COURSE START DATE / COURSE END DATE
COURSE OBJECTIVES
NAME OF COURSE PROVIDER
NAME OF COURSE
COURSE START DATE / COURSE END DATE
COURSE OBJECTIVES
NAME OF COURSE PROVIDER
NAME OF COURSE
COURSE START DATE / COURSE END DATE
COURSE OBJECTIVES
NAME OF COURSE PROVIDER
NAME OF COURSE
COURSE START DATE / COURSE END DATE
COURSE OBJECTIVES

Please continue on a separate sheet if necessary.

FIRE SAFETY EXPERIENCE
Please note: If you are a registered CEng or IEng with the IFE you do not need to complete this section
DATES / WHAT WAS DONE AND IN WHAT CAPACITY / RELEVANCE

FIRE RISK ASSESSMENTS

Please provide a list giving brief details of the Fire Risk Assessments (a list only required at this stage) carried out by you within the last 12 months. Please note that different areas of the same building are not deemed to constitute different fire risk assessments, even if they are subject to separate reports. A number of assessments will be requested from the list below for detailed review. With this in mind, you are advised to ensure that you are confident with the content of the Fire Risk Assessments that you list below.

DO YOU USE MULTIPLE PROFORMA/TEMPLATES YES NO

If yes then please list additional fire risk assessments and clearly identify the different templates used as per the Guidance for Fire Risk Assessor Applicants document.

DATE
(DD/MM/YY) / LOCATION, SIZE AND TYPE OF PREMISES
E.G. CARDIFF, 3 STOREY OFFICE BLOCK

Please continue on a separate sheet if necessary.

TERMS AND CONDITIONS OF APPLICATION TO REGISTER OF FIRE RISK ASSESSORS
  1. Inclusion on the IFE Register of Fire Risk Assessors is in the absolute discretion of the Institution of Fire Engineers (IFE) and in particular, inclusion on the Register will not be granted to or may be withdrawn from any person who acts in a manner deemed to be inappropriate or in a manner considered to bring the IFE into disrepute.
  1. The IFE expects assessors to provide appropriate evidence of their expertise and professional qualifications and that the client / user receiving the services is entitled to undertake interviewing and reference taking as necessary to satisfy themselves of the competence of the assessor in relation to the services required.
  1. Professional indemnity and public liability insurance is not provided by the IFE and assessors should carry such insurance themselves. It is the responsibility of any clients / users to satisfy themselves as to any such requirement in the context of the relationship with the assessor, making provisions where necessary.
  1. The IFE's evaluation of the suitability of the assessor to be included on the IFE Register of Fire Risk Assessors is entirely at the discretion of the IFE and the applicant has no rights to bring any claim against the IFE, or to the extent that the IFE does not approve the assessor’s application, or requires the application to be resubmitted for any reason.
I confirm that I have read and accept the Terms and Conditions of Application to Register
of Fire Risk Assessors.
I attach copy certificates of my academic qualifications (if you are not an IFE registered CEng or
IEng) and my fire risk assessment training.
I confirm that I have included a CPD log containing the last 2 years evidence of CPD.
I confirm that I have professional indemnity insurance and public liability insurance.
I confirm that I have read the Guidance for Fire Risk Assessor Applicants.
I enclose payment for my application fee (alternatively, please call to pay by credit or debit card
on 01789 261463).
I confirm that all information provided in this application form and within any supporting
documents is entirely true and accurate to the best of my knowledge.
I confirm that I have included a copy of my current CV.
I confirm that I have included photo ID.
SIGNATURE OF APPLICANT / DATE
GENERAL DATA PROTECTION REGULATION (GDPR)
The Institution of Fire Engineers (IFE) takes your privacy seriously and treats all personal information in accordance with EU/UK data protection legislation.When completing this form, the IFE requests the minimum information necessary to process your application. The information you provide in this application form will be used by the IFE and its representatives for administrative and membership purposes or as required by law. Please view our Privacy Policy for more information.
PAYMENT BY CREDIT OR DEBIT CARD (Unfortunately we are unable to accept American Express)
Please complete the boxes within this section:
Card number (the long number on the front of your card):
Issue No.:
(If applicable) / Start Date:
(mm / yy) / Expiry Date:
(mm / yy) / Security No.:
(Last 3 digits on signature strip)
/ / /

Issued 05/18Page 1 of 8File: FRR Application Form v11