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A form that you can download and use to identify fire safety risks for the person you care for. It's a good way to understand where steps can be taken to reduce risks and prevent fires.
This form has been designed for carers, support workers, housing officers and social workers, but if you care for a family member or friend you can also use it to highlight potential risks.
Use the form to identify whether the person is at risk from fire, or would have difficulties reacting or escaping if a fire occurs. If any concerns are highlighted, please contact us for a free Home Fire Safety Visit so that we can provide specialist advice tailored to the person’s needs. There may also be things that you can do to reduce the risk locally, such as not using candles or ensuring heaters are appropriately placed.