FIRE-RA_Section

Company Name

Fire Risk Assessment

Location

Department / Section

Date of Assessment

Time of Review

Premises being assessed

Section 1 - Sources of Ignition

Other Sources of Ignition and Relevent Comments

Section 2 - Sources of Combustable Materials

Other Sources of Combustable Materials and Relevent Comments:

To be filled in by Assessor / Manager / Supervisor:

Assessor / Manager / Supervisor

Reference No

Signed

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Date

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