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Fire Risk Assessment
Review
For
59 Castillon Road
Catford
London
SE6 1QD
Date of Review
31/07/2009
Reviewer
Neil Tilley mbifm Tech IOSH (Neil Tilley Company)
On site person
responsible for Fire
Safety
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Contents:
Executive Summary
1. Recommended Remedial Action Plan
2. Review Summary
2.1 Original Recommended Corrective Action Plan
2.2 Review of building details/occupancy profile and history
2.3 Review of any Occupants at Special Risk
2.4 Review of Hazards
2.5 Review of the Maintenance of Existing Measures
3. Other Observations
Photo Library (if applicable)
Executive Summary
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This document is a review of the existing comprehensive Fire Risk Assessment as completed on the 7th November 2008 and
reviewed and up-dated on 25th March 2009
The review consisted of an audit of the existing Fire Risk Assessment with particularly reference to those significant defects
noted at the time of the original assessment and to measure the amount of corrective actions taken plus an audit of the
maintenance of existing preventive and protective measures.
A comprehensive building inspection was not completed but a sample number of key fire safety elements were checked.
Any new issues have also been highlighted
As a result of this review the significant defects noted are:
• That a number of issues raised on the original assessment and subsequent reviews have not been actioned.
• A number of these means that the responsible person as defined in the Regulatory Reform (Fire Safety) Order 2005
could be in breech of that order.
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Level of Risk
As a result of the Fire Risk Assessment review I would assess the residual risk to:
• All staff as being medium.
• The public as being medium.
• The continuity of the business as moderate.
All ratings would drop to low upon confirmation that the sprinkler system is fully operational
and is being tested, serviced and maintained to its installation standard.
These assessments are made on the assumption that all or the greater part of the
recommendations will be implemented within the given timeframes.
Where recommendations are not implemented it is suggested that the Fire Risk Assessment
is noted as to the reasons for not taking any action or what alternative actions were taken
instead.
It is recommended that the Fire Risk Assessment is comprehensively reviewed every year. It
will also require to be reviewed if:
a) There are alterations to the building including any internal layout changes.
b) Substantial changes to furniture and fittings.
c) Changes to work activities or the way that you organise them, including the introduction
of new equipment.
d) The introduction, change of use or increase in the storage of hazardous materials.
e) The failure of fire precautions e.g. fire detection systems and alarm system, life safety
sprinklers systems or smoke ventilation systems.
f) Significant changes to displays or quantities of stock or similar materials.
g) Significant increase in the numbers of people present.
h) The presence of people with some form of disability and who would require assistance
to evacuate.
i) If a fire or a “near-miss” incident occurs.
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Priority Rating Table
Priority Ratings Description
Urgent - Needs to be completed urgently as the hazard represents a high risk to all
A occupants and represents a significant threat to the continuity of the business.
Medium - The risk is less than that of “A” but still a risk to occupants and a threat to the
B continuity of the business. Action is required in the short to medium term.
C Low - Work that is desirable or work that would be part of a servicing regime.
Date
Priority Recommended Actions Comments Person Responsible
Completed
Ensure that there are procedures in place Vulnerable persons PEEP register policy 12/06/2009
that make provision for the evacuation of in place. All staff should be aware.
A any disabled persons that doesn’t rely on Usually the Fire Warden is the BUDDY.
fire service intervention
Due to build fire lifts are DDA ready
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Date
Priority Recommended Actions Comments Person Responsible
Completed
Have a competent sprinkler system Maintenance logs are up to date. A full N TILLEY – Follow-up actions 12/06/2009
engineer carry out an audit on the sprinkler programme of works is in place under in green
system to ensure that the recessed heads the current contract regime
are correctly aligned to the ceiling levels,
and that any painted caps have been
replaced.
All logs with Bill Neeves
A
Ensure that there is an integrity test carried
out on all gas flood rooms.
Offending core 1 stationery stores now
Ensure that in all areas no goods are stored
compliant
within half a metre of the sprinkler heads.
Replace the AFFF foam extinguisher inside The AFFF extinguisher is a 9 L. The 12/06/2009
the third floor kitchen with a wet chemical concern is weight. Chef assures his team
A extinguisher are competent and the extinguisher is
fit for purpose
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Date
Priority Recommended Actions Comments Person Responsible
Completed
Atrium Exit Doors: Change the door These glass doors are historically left 12/06/2009
hardware to allow for the doors to open in locked open for that very reason.
the direction of escape Common practice
A As the final exit doors are electronically This is the case
alarmed/control it is important that these
are tested regularly (monthly) to ensure
there correct operation
Have a competent person check all fires tba 12/06/2009
door to ensure they are fully compliant.
B Fit an approved fire door hold open device
to the kitchen area fire door that is
persistently being wedged open.
Retraining and advice to staff
Ensure there is a suitable testing regime in PAT testing on a three year rolling plan. 12/06/2009
place for electrical equipment. Particular Home and external electricals are
attention should be paid to the kitchen prohibited. Bespoke new work
B equipment that are thermostatically equipment should be assessed by PME
controlled such as deep fat fryers.
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Date
Priority Recommended Actions Comments Person Responsible
Completed
Check the smoke detector in core 3 9th Addressed 12/06/2009
floor photocopying area where the unit
B dopes not appear to be sitting in its
bracket.
Ensure that within the back of house Advice given to staff 12/06/2009
area of the third floor kitchen that
B
escape routes should clearly
identified and routes kept clear
Check the smoke detector in core 3 Addressed 12/06/2009
9th floor photocopying area where
B
the unit does not appear to be sitting
in its bracket.
Service the CO2 extinguishers in the Costa On schedule. Staff spoken to. Compass 12/06/2009
coffee bars and instruct staff on there safe asked to join in on the Fire Officer
B handling to prevent this being a continuous training
problem.
I would recommend that a periodic NT as competent person 31/03/2009
B (monthly) visual check is scheduled
to be made of all extinguishers
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Date
Priority Recommended Actions Comments Person Responsible
Completed
Ensure all staff receive appropriate fire Company Policy sets the pace 12/06/2009
safety training as outlined within the
Regulatory Reform (Fire Safety) Order
2005.
B
Ensure kitchen staff receive adequate fire
Chef assures staff competent
safety training including the practical use
of fire extinguishers.
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2.2 REVIEW SUMMARY OF BUILDING DETAILS/OCCUPANCY PROFILE AND HISTORY
Item Findings Comments
The only significant changes have been to floor layouts and
Building Details this principally means the removal of internal glass
partitions.
Staff occupancy numbers have been reduced
Staff Occupancy
.
As per the previous FRA access to the building is strictly
Public Use controlled.
The buildings is in good condition and appears well
Summary of maintained
Building
Observations
History Since the previous FRA there have been no significant
incidents
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2.3. REVIEW OF ANY OCCUPANTS AT SPECIAL RISK
Item Findings Comments
Sleeping No provision for sleeping on site
Disabled/others who As per previous FRA there lacks formalised This lack is a management failing. A full plan is in place but
may require procedures for the evacuation of disable persons is either mis-understood or not known. N Tilley to redress
assistance to evacuate although the building has good provision for this in this balance
the form of evacuation lifts. This procedure must
be able to be carried out by staff and not rely on
fire service intervention.
Working in remote Given the fixed and active fire protection measures
areas within the building along with access controls then
working in remote areas is not a significant risk.
Young persons There would normally be young persons employed Compliance is via N Tilley, M Dumbura, BU involved & HR
within the building. Where this may occur such as
for work experience then a separate and suitable
risk assessment is carried out.
Contractors (non- There are contractor controls in place by the
employees) building management.
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2.4. REVIEW OF HAZARDS
Item Findings Comments
Control of Ignition Sources The site management team responsible for the 250 Ensure there is a suitable testing regime in place for
Bishopsgate appear to take all reasonable steps to electrical equipment. Particular attention should be paid to
ensure the control of ignition sources. the kitchen equipment that are thermostatically controlled
such as deep fat fryers.
An audit of electrical equipment noted that whilst
some electrical had been subjected to recent
testing this was not all inclusive. Particular
attention should be paid to the kitchen equipment
that are thermostatically controlled such as deep
fat fryers.
Control of Fuels The site management team appear to take all
reasonable steps to control flammable materials
within the building.
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2.5 REVIEW OF MAINTENANCE OF EXISTING MEASURES
Item Findings Comments
Fire-fighting Equipment There are fire extinguishers located through out Service the CO2 extinguishers in the Costa coffee bars and
the floor areas. Recently installed extinguishers in instruct staff on there safe handling to prevent this being a
the Costa coffee bars were found to have damaged continuous problem.
anti-tamper tags and/or pins partly removed.
These units require urgent servicing
The Foam extinguisher is still in the kitchen. If this I would recommend that a periodic (monthly) visual check
extinguisher was to be operated in and around the is scheduled to be made of all extinguishers
deep fat fryers or other hot oil this could present a
significant threat to the user or other staff and
could spread the fire. The extinguisher should be
replaced with a wet chemical extinguisher.
Given the number of extinguishers missing anti-
tamper tag and pins removed or partly removed I
would recommend that a periodic (monthly) visual
check is scheduled to be made of all extinguishers.
Fire Suppression, Detection As per previous risk assessment concerns have Check the smoke detector in core 3 / 9th floor photocopying
and Evacuation Alarms been expressed regarding the recessed sprinkler area where the unit dopes not appear to be sitting in its
Systems heads. There was not evidence on hand to show bracket.
the system has been checked and in fact in the
kitchen area on the third floor a head was missing
a cover-plate and the head was poorly aligned to
the ceiling. It was not possible to determine that
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2.5 REVIEW OF MAINTENANCE OF EXISTING MEASURES
Item Findings Comments
this was a”drop-down” head.
The site representative did inform me that a large
number of the existing glass walls were to be
removed, this should help with the both the
location of the smoke detectors as well as the
spray pattern o f the sprinkler heads.
Within the photocopying area on the 9th floor core
3 the existing smoke detector is not sitting
correctly in its bracket
As per previous fire risk assessment goods are still
being stored within 0.5m of sprinkler heads. (L5)
Means of Escape At the time of the review all exits from the floors Atrium Exit Doors: Change the door hardware to allow for
were found to be in good order. Again my concern the doors to open in the direction of escape
is that there are a number of doors leading to exits
which have key locks. Again I reiterate that any exit
door (including doors access the exit route) should
As the final exit doors are electronically alarmed/control it
be able to be opened without the use of a key.
is important that these are tested regularly (monthly) to
With proposed works being planed on some floors ensure there correct operation
the design should be such not to restrict access to
These door locks definitely have no key available.
the exit routes. In some case access ways are less
than 800mm.
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2.5 REVIEW OF MAINTENANCE OF EXISTING MEASURES
Item Findings Comments
The area at the rear of the main client kitchens was
again found to have a trolleys and other
equipment blocking the exit ways
Within the atrium the exit doors, which would be
the escape route for large numbers of people open
inwards. I believe it would be a simple operation to
change these to double swung doors therefore
allowing the doors to open in the direction of the
escape route.
As the final exit doors are electronically
alarmed/control it is important that these are
tested regularly (monthly) to ensure there correct
operation. This could be done by security officer
after hours and during regular building checks
Fire Separation As per the previous fire risk assessment some key N Tilley has suitable ROSPA signage and is to reiterate
fire doors were found to be wedged open. instruction
Signage Signage is as found on previous FRAs.
Emergency Escape Lighting The emergency lighting appears to be adequate
throughout, although this was based on a visual
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2.5 REVIEW OF MAINTENANCE OF EXISTING MEASURES
Item Findings Comments
inspection at the time of the visit and no test was
carried out on the luminance level or the
verification of compliance with British Standards.
Housekeeping At the time of the review apart from the client
kitchen area, housekeeping was better
Equipment/Information As per the Fire Risk assessment.
Provided for Fire Brigade
Limited information is held for Fire-fighters but
there is security on site 24/7
Records Records showing the maintenance of all safety
systems were limited
Co-operation and Co- This is basically a single occupied building but a
ordination number of the services are contracted out
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2.5 REVIEW OF MAINTENANCE OF EXISTING MEASURES
Item Findings Comments
Emergency Planning There is a basic emergency plan in place but no Formal plans for DDA compliance is not visible. N Tilley to
formal arrangements for the evacuation of any address this 12/06/2009
disabled persons. Whilst the building has good
safety features a formalized plan is need to ensure
the safe evacuation of all persons without fire
service intervention.. This may require the
assistance of the security staff
Staff Training Key staff continue to be trained but general staff Ensure all staff receive appropriate fire safety training as
training appears to be limited. outlined within the Regulatory Reform (Fire Safety) Order
2005.
It should also be noted that as the operation of the
kitchen is outsourced it is important that these Ensure kitchen staff receive adequate fire safety training
staff members receive adequate fire safety training including the practical use of fire extinguishers.
including the practical use of fire extinguishers.
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3. OTHER OBERSERVATIONS
Records
Records should be kept to demonstrate compliance with Fire Safety law particularly records showing the maintenance of all
fire-protection equipment and training.
I suggest that a Fire Safety log book be introduced and within this should be:
a) A copy of the FRA.
b) A copy of the emergency plan plus identification of key staff and their roles.
c) Records showing the maintenance of all fire safety systems within the building.
d) Details of staff training.
e) Incident reposts showing details of any fire, false alarms or near miss incidents.
It is recommended that within the Fire Safety log book is kept a line drawing covering each floor detailing general fire
precautions measures for that floor. This could include:-
• Fire Warden Evacuation zones.
• Break glass call points.
• Emergency lighting units.
• Fire extinguishers (including types).
• Emergency exits.
• Fire doors with self closures.
• Fire resistant constructions such as protected escape routes.
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9) Photo Library:
Sprinkler head with the kitchen area ceiling. Not the large build up of dust and other material on the head. The head is also
not centred on the ceiling hole. There are some obvious electrical faults. Overloaded adaptors, multiple extension ganging.
Obstructions to fire corridor.
Neil Tilley 59 Castillon Road Catford London SE6 1QD 2
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Neil Tilley 59 Castillon Road Catford London SE6 1QD 2
Tel: 020 8698 0181 Mob: 07748 336 902 tilley.neil@btinternet.com