EM – FIRE SAFETY UNIT
"Promoting Safety - Reducing Risk"
DEPARTMENT FIRE SAFETY
BUILDING CODE:
DEPARTMENT:
Date:
Issued by FSU
Initial:
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting
the University’s people, estate and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
CONTENTS
Form 1
Visiting persons who are connected with matters of fire safety
Form 2
Staff training records
Form 3
Fire alarm – test / maintenance record
Form 4
Fire fighting equipment – test / maintenance record
Form 5
Electronic locks on fire exit routes – Test record
Form 6
Emergency lighting – Test & Maintenance sheet
Form 7
Fire alarm – Record of Unwanted Fire Signals
Form 8
Automatic fire detection and alarm installation: record of
disablements/isolations
Form 9
Other fire safety systems / Equipment Defect & test record
Form 10
Reporting fire safety hazards
Form 11
Record of fire incidents
Form 12
Fire Evacuation Drills
Form 13
Hot work permit
Form 14
Hot work permit - precautions
Form 15
Evac-Chair / Stairclimber maintenance record
For advice on any aspect of testing, record keeping or general fire
safety please contact the fire safety unit on 37822 or email
fire.safety.office@admin.cam.ac.uk
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
FORM 1
“Promoting Safety – Reducing Risk”
VISITING PERSONS WHO ARE CONNECTED WITH MATTERS OF FIRE SAFETY
Date
Name & Position
Reason for Visit
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
FORM 2
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
STAFF FIRE SAFETY TRAINING RECORDS
Date
Name of Person
Type of
Training
Instruction
given by
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
FORM 3
“Promoting Safety – Reducing Risk”
FIRE ALARM – TEST / MAINTENANCE RECORD
Date
ID No
Detail
Result / Action Taken
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
Name
FORM 4
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
FIRE FIGHTING EQUIPMENT – TEST / MAINTENANCE RECORD
Date
ID No
Detail of Test
Result / Action Taken
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
Name
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
FORM 5
ELECTRONIC LOCKS ON FIRE EXIT ROUTES – TEST RECORD
Date
ID No
Detail of Test
Result / Action Taken
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
Name
EMBS – FIRE SAFETY UNIT
FORM 6
FORM 4
“Promoting Safety – Reducing Risk”
EMERGENCY LIGHTING – TEST / MAINTENANCE RECORD
Date
ID No
Detail of Test
Result / Action Taken
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
Name
EMBS – FIRE SAFETY UNIT
FORM 7
“Promoting Safety – Reducing Risk”
FIRE ALARM – RECORD of UNWANTED FIRE SIGNALS
Date /
Time
Device
No
Location
CCFRS Incident
No (if any)
Comment / Investigation
of Cause
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the
University’s people, estate and reputation from the possible consequences of fire.’
FORM 8
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
AUTOMATIC FIRE DETECTION AND ALARM INSTALLATION: RECORD OF DISABLEMENTS/ISOLATIONS
Zone/Device
Work Location
Reason for isolation and
expected duration
Date & Time Isolated
Responsible Person
Name and Signature
Date & Time
Reinstated
Responsible Person
Name and Signature
Recommendations for the management of fire alarm systems to avoid unwanted alarm activations
Where works involving the generation of dust, smoke, steam, etc are to be carried out in an area protected by smoke detectors, the following precautions should be taken to
prevent unwanted fire signals:
1.
Provision of brightly coloured temporary (proprietary) covers over detectors to prevent the ingress of contamination.
2.
Disablement of automatic detectors.
3.
Temporary arrangements for giving warning in case of fire in the affected area/s
On completion of the works, the responsible person appointed by the user to manage the system should ensure that proper reinstatement of the protection occurs.
Details of any disablement and reinstatement should be recorded on this form.
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
FORM
8.1 9
FORM
OTHER FIRE SAFETY SYSTEMS / EQUIPMENT EFFECT AND TEST RECORD
ID No
Floor
Location
Type
Comment
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate
and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
FORM 10
“Promoting Safety – Reducing Risk”
REPORTING FIRE SAFETY HAZARDS
Date
Reported Hazard
Action Taken & Date
Name
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate
and reputation from the possible consequences of fire.’
FORM 11
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
RECORD OF FIRE INCIDENTS
Date
Details
CCFRS
Incident No
(if any)
Name
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate
and reputation from the possible consequences of fire.’
FORM 12
EMBS – FIRE SAFETY UNIT
“Promoting Safety – Reducing Risk”
RECORD OF FIRE EVACUATION DRILLS
Date of drill:
Type of drill:
Number of people involved:
Staff:
Students:
Visitors:
Contractors:
Optimum evacuation time:
Actual evacuation time:
Time to confirming building empty:
Assessment of drill:
Remedial action necessary:
Person responsible for drill:
Fire Safety Managers comments:
Name:
Signature:
Date:
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate
and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
FORM 13
“Promoting Safety – Reducing Risk”
HOT WORK PERMIT TO WORK
Building ………………………………………….. Floor……..…….. Area ……………….……………….
Nature of job (including exact location)
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………….…..
The above location has been examined and the precautions listed on the form 14.1 have
been taken.
Date ……………… Time of issue of permit…………..Time of expiry of permit ………..
Signature of person issuing permit ………………………………………………………..………..
Signature of person to whom permit is issued…………………………….…………..………..
NB It is not desirable to issue hot work permits for protracted periods; for example,
fresh permits should be issued where work carries on from day to day.
FINAL CHECK-UP
Work area and all adjacent areas to which sparks and heat might have spread (such as
floors above and below and on opposite sides of walls) were inspected continuously for
at least one hour after the work was completed and were found fire safe.
Name & signature of employee carrying out fire watch
…………………………………………………………………………………………………………………………....
AFTER SIGNING RETURN PERMIT TO PERSON WHO ISSUED IT
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate
and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
FORM 14
“Promoting Safety – Reducing Risk”
PRECAUTIONS
The person carrying out this check should tick as appropriate
‰
Where sprinklers are installed that these are operative.
‰
Cutting and welding equipment in good repair and adequately secured.
Precautions within 15m of work;
‰
‰
‰
‰
Floors swept clean of combustible materials.
Combustible floors protected by wetting down and covering with damp sand or
sheets of non-combustible material.
Combustible materials and flammable liquids protected with non-combustible
curtains or sheets.
All wall and floor openings covered with sheets of non-combustible material. All
gaps in walls and floors through which sparks could pass covered with sheets of
non-combustible material.
Work on walls or ceilings;
‰
‰
Combustible constructions protected by non-combustible curtains or sheets.
Combustibles moved away from opposite side and clear of any metal likely to
conduct heat. (Where metal beams are being worked on, and extend through
walls or partitions, precautions must be taken on the far side of such a wall).
Work on enclosed equipments (Tanks, containers, ducts, dust collectors etc.)
‰
Equipment cleaned of all combustibles.
‰
Containers free of flammable vapours.
FIRE WATCH
Provision for the attendance of an employee during and for one hour after completion of
work. Such employee being supplied with extinguishers or small bore hose and trained
in the use of such equipment and in sounding and alarm.
Signature of person carrying out the above check
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate
and reputation from the possible consequences of fire.’
EMBS – FIRE SAFETY UNIT
FORM 15
“Promoting Safety – Reducing Risk”
EVAC-CHAIR / STAIRCLIMBER MAINTENANCE RECORD
(One form per chair)
Type of chair:
Location:
ID No:
Date
Date of issue:
Detail of Check
Result / Action Taken
Name
Fire Safety Unit’s Mission Statement
‘To deliver the highest level of fire safety support and advice to all stakeholders thereby protecting the University’s people, estate
and reputation from the possible consequences of fire.’