HTM 05-01 NHS Estate Fire Safety Compliance Self-Assessment

This checklist covers compliance with Regulatory Reform (Fire Safety) Order 2005 and applicable UK statutory requirements for healthcare operations. Non-compliance can result in unlimited fines and up to two years imprisonment under Article 32 of the Regulatory Reform (Fire Safety) Order 2005 and the Fire Safety Act 2021.

  • Industry: Healthcare
  • Frequency: Quarterly
  • Estimated Time: 20-30 minutes
  • Role: NHS Estates Fire Manager
  • Total Items: 20
  • Compliance: Regulatory Reform (Fire Safety) Order 2005, Fire Safety Act 2021, BS 5839-1:2017, BS EN 3

Fire Risk Assessment & Legal Responsibilities

Verify Fire Risk Assessment currency, Responsible Person appointment and action tracking per RRO 2005.

  • Is the Fire Risk Assessment (FRA) current, site-specific, and reviewed within the last 12 months?
  • Are all fire risk assessment action items tracked and completed with evidence?
  • Is the Responsible Person (RP) appointed, documented, and trained to the required standard?
  • Attach photo of current fire risk assessment, action log, and RP appointment document:

Escape Routes, Fire Detection & Suppression

Verify escape route condition, fire alarm testing, and fire suppression equipment compliance per RRO 2005.

  • Are all escape routes clear, unobstructed, adequate width, and illuminated at all times?
  • Is fire detection and alarm system in working order with weekly tests and annual BS 5839-1 service?
  • Are fire suppression/extinguishers correctly sited, within annual service date, and staff trained in use?
  • Attach photo of escape route plan, fire alarm service certificate, and extinguisher inspection records:

Emergency Lighting, Fire Doors & Passive Protection

Verify emergency lighting, fire door compliance, and passive fire protection per RRO 2005.

  • Is emergency lighting in place on all escape routes, in working order, and tested monthly?
  • Are fire doors self-closing, correctly labelled, and free from propping or damage?
  • Overall fire safety compliance assessment:
  • Attach photo of emergency lighting test records, fire door inspection log, and damper test certificates:

Fire Evacuation Drills & Fire Safety Logbook

Verify drill frequency, fire safety logbook maintenance, and Responsible Person accountability.

  • Are fire evacuation drills conducted at least annually (or twice yearly for sleeping premises) and documented?
  • Is the fire safety logbook maintained with all tests, inspections, training, and incidents recorded?
  • Months since last fire evacuation drill (maximum 12):
  • Responsible Person or Fire Safety Manager certification of inspection completion:

Corrective Actions & Inspector Sign-Off

Document all deficiencies and assign corrective actions. POPProbe auto-assigns these to team members, generates a signed PDF report instantly, and tracks compliance status across all locations. -> Start free, no credit card required

  • List all deficiencies identified in this inspection:
  • Overall compliance status?
  • Corrective actions assigned to (name and department):
  • Inspector digital signature and date:

Related Uk Fire Safety Checklists

Related Fire Risk Assessment Checklists

Why Use This HTM 05-01 NHS Estate Fire Safety Compliance Self-Assessment?

This htm 05-01 nhs estate fire safety compliance self-assessment helps healthcare teams maintain compliance and operational excellence. Designed for nhs estates fire manager professionals, this checklist covers 20 critical inspection points across 5 sections. Recommended frequency: quarterly.

Ensures compliance with Regulatory Reform (Fire Safety) Order 2005, Fire Safety Act 2021, BS 5839-1:2017, BS EN 3. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the HTM 05-01 NHS Estate Fire Safety Compliance Self-Assessment cover?

This checklist covers 20 inspection items across 5 sections: Fire Risk Assessment & Legal Responsibilities, Escape Routes, Fire Detection & Suppression, Emergency Lighting, Fire Doors & Passive Protection, Fire Evacuation Drills & Fire Safety Logbook, Corrective Actions & Inspector Sign-Off. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed quarterly. Each completion takes approximately 20-30 minutes.

Who should use this HTM 05-01 NHS Estate Fire Safety Compliance Self-Assessment?

This checklist is designed for NHS Estates Fire Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

Browse More Checklists