XACT Fire Risk Assessment Suite

🏢 Accountability & Premises Information

Blank Training Form

Premises Name

Premises Address

Person(s) Consulted / Client Contact

Person Completing Assessment (Assessor)

Responsible Person (Employer)

Date of Assessment

Suggested Review Date

UPRN (Optional)

📐 Premises Description & Occupancy Profiles

Approximate Floor Area (m²)

Number of Storeys

Max Occupancy

Brief Description of Premises & Use

Occupants Especially at Risk

Relevant Fire Safety Legislation & Enforcing Authority

🔥 Part 2: Fire Hazards Checklist

Hazard Identification

🛡️ Part 3: Fire Protection Measures

Protection Evaluation

👥 Part 4: Management of Fire Safety

Safety Governance

📋 Risk Scoring Matrix & Itemized Action Plan

Automated Risk Score Calculator

1. Likelihood of Fire

2. Potential Consequences

Calculated Score:

Score: 6 (Moderate Risk)

Overall Building Risk Rating

Executive Summary Conclusion

Action Plan / Deficiencies Log (Auto-Synced)

Item	Deficiency / Observation	Recommended Action	Priority	Target Date	Initials	Action

XACT Statutory Fire Risk Assessment Report

[Premises Name]

[Premises Address]

Assessment Date: -

Review Due: -

Assessor: -

Executive Summary & Risk Rating

Overall Risk Rating:

Not Rated

Responsible Person:

No summary provided.

1. Premises Profile

Floor Area	-	Storeys	-
Max Occupancy	-	UPRN	-
Consulted Contact	-
Occupants at Risk	-
Legislation / Authority	-

2. Audit Checklists Summary

3. Action Plan & Deficiencies Log

Item	Deficiency / Observation	Recommended Action	Priority	Target Date

Appendix: Photographic Evidence

The following photographic evidence and observations were recorded during the inspection audit.

Legal Disclaimer (XACT Assessments Ltd): This fire risk assessment has been completed in accordance with regulatory requirements. Responsibility for compliance rests with the employer or person in control of the premises.