Tool Type / FORM / Last Reviewed / 10/5/12
Geography / All / Source: / Health & Safety Ontario

FIRE SAFETY ASSESSMENT FORM

BENEFITS

Fires are one of the most common types of workplace emergencies. To ensure that you fulfill your duty to protect workers in the event of a fire, you should have a fire safety plan, either as a stand-alone plan or part of an overall emergency plan. To create such a plan, you should first assess your workplace for fire hazards and factors impacting safety in a fire.

HOW TO USE THE TOOL

Use this form to ensure that you assess all areas and aspects of your workplace that are relevant when it comes to fire safety. Indicate whether you’ve assessed each area or aspect and note any issues to be addressed, such as blocked fire exits or malfunctioning smoke detectors. Address any identified fire safety issues and then use the other information gathered to develop an effective fire safety plan for your workplace.

OTHER RESOURCES:

Health & Safety Ontario

Fire Safety Checklist for Industrial Workplaces

Fire Safety Checklist for Offices

Emergency Preparedness & Response Compliance Centre

FIRE SAFETY ASSESSMENT FORM

WORK PROCESSES/ACTIVITIES / YES / NO / COMMENTS
Potential fire hazards, such as sources of ignition and their location
High risk areas, such as open tanks
High risk activities, such as hot work
Appliances, mechanical/electrical equipment
Hazardous materials, including the quantities used and characteristics, such as flammable, combustible, explosive, reactive, etc.
Hazardous by-products, such as combustible dust
BUILDING / YES / NO / COMMENTS
Floor layout, including stairs, exits and access to exits
Building materials, including fire-resistance ratings
Storage areas
Emergency lighting
Ventilation systems
Fire detectors and suppressors, including smoke detectors, fire alarms and automatic sprinkler systems
PEOPLE (WORKERS, VISITORS & COMMUNITY) / YES / NO / COMMENTS
Number who might be affected
Characteristics, including disabilities that would impact awareness of fire or ability to evacuate
Location:
-Inside building/facility
-Outside building/facility
-Neighbourhood, including presence of industries, homes, hospitals and schools
CONTROLS / YES / NO / COMMENTS
Engineering controls, such as fire doors
Work practices, such as adequate housekeeping, control of combustible dust
Administrative controls, such worker training, regular inspections
Primary containment, such as containers, tanks, piping systems
Fire containment, such as extinguishers
Flammable or combustible liquid spills containment, such as dykes, non-combustible retention ponds, raised door sills

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