Assessment date _____dd/mm/yyyy___ [date of assessing]
Reference no __________ [number of reference]
Created by _____________ [name of the fire department]
Name of firm _____________ [name of the firm where the appraisal is being done]
The following guidelines outline the risks of fire in various places of the firm:-
Name of activity ______________ [activity name at the firm]
Fire risk involved _________________ [state the main risk of fire]
People who are involved ___________________ [people working at the particular area]
Measures of fire safety to be taken __________________ [fire safety measures]
Risk factor _______________ [rate the risk on a scale of 5]
The above assessment has been verified by ___________________ [name of the assessor with sign]