DETAILS OF ORGANISER

Name…………………………Address………………………………………………………….

………………………………………………..Tel. home………………… work ………………

Mobile contact number: …………………..

EVENT DETAILS

Date: ……………………………………….. Time: ……………………………

Location of bonfire or firework display (be precise)

……………………………………………………………………………………………………..

Number of spectator’s invited/expected:

1. Will there be a bonfire? / YES NO
  1. If yes, Is it on a flat suitable site, at least 15mtr away from buildings, highways, overhead power lines, etc?
/ YES NO
  1. Have you nominated a person responsible for the bonfire? i.e collecting material for it, building it, lighting it ?
/ YES NO
  1. Have you taken precautions to ensure no hazardous materials are
put on the bonfire? Eg: highly flammable materials, material that
may emit toxic fumes or fibres. / YES NO
5. Are you having fireworks? / YES NO
6. If YES, have you appointed a Professional/Special Firework Operator?
If YES. Please provide Name, Address and Tel no.
………………………………………………………………………………………………………………………………………………………… Mobile………………….. / YES NO
7. If NO, have you nominated your own responsible person?
If YES. Please provide name and contact Tel no.
…………………………………………………………………………………………………………………………………………………………I Mobile …………………. / YES NO
8. Have you provided a safe and secure place to store them before use? / YES NO
9. Have you identified: the firing area
the safety area
the fall-out area
the bonfire area (if applicable) / YES NO YES NO YES NO YES NO
  1. How will you make sure no unauthorised persons enter the firing area, safety area
and fall-out area? Provide details.
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
  1. Have you identified emergency service routes to site and made arrangements to keep routes clear of obstructions and accessible at all times during the event? YES NO

  1. Have you provided a communication system between display organiser and staff? YES NO

  1. Is there a suitable PA system to make announcements to the public? YES NO

  1. Are systems in place for the removal and safe disposal of hazardous or unsuitable
material for bonfires if applicable? YES NO
  1. Have you organised the cleaning up of debris etc after the event? YES NO

  1. If something should go wrong, have you got a procedure in place? (Consider burns,
accident with a firework, misfires, cancelling due to adverse
weather, people bringing their own fireworks on site.) Provide details
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………Have you provided first aid facilities? YES NO
Will up to date & tested fire fighting equipment be avalible for use within the firing area?YES NO
  1. Have you enclosed the event site plan and risk assessment with this
Form / YES NO
If further information is required, please provide name and contact no if different from above.
Name…………………………………Tel. No work………………home………………….
Return to; Gary Parkinson, Public Protection Service, Number One Riverside, Smith Street, Rochdale, OL16 1XU or email to
At least 15 days before the event.
Signed…………………………………………………………………………………date……………………….