Fire Safety Risk Assessment Form

Potential Loss/Risk
Sole Supplier in UK:
If yes give brief details:
Yes No
Providing high value
or unique service or
products:
Exceptional Value:
Value of rebuild and
restock:
If yes give brief details:
Yes No
Heritage Risk:
Building of National
Importance or
international
significance.
If yes give brief details:
Yes No
Community Loss:
Exceptional value or
impact to the
community.
If yes give brief details:
Yes No
Property Loss:
Estimate the extent of
Tick one
box
below
Estimate damage
within 50m
2
fire and smoke
damage arising from
an uncontrolled fire
and whether it is likely
to be:
Note: Tick only one box
in this section
Damage beyond building
of origin:
Confined to room or
compartment of origin:
Confined to the floor of origin:
Confined to the building of
origin:
Tick one box below
Less than 500m
2
500m
2
to 999m
2
1000m
2
to 9999m
2
100000m
2
to 100000m
2
Over 100000m
2
Other Relevant Information:
Page 2 of 23
MR/ECFRS/V2/2013
Page 2/23
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Fire Safety Risk Assessment Form PDF

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