ENTERPRISE EXCELLENCE FORM

FORM NUMBER: REV: PAGE: ORIGINAL ISSUE DATE: REVISION DATE:

3-4-GL-GL-SCS-00005 0 1 of 5 16/JUL/2010 DD/MMM/YYYY
PREPARED BY: REVIEWED BY: APPROVED BY: APPROVED BY:

J. PACK R. PRAKASH, R. ANDERSON D. SMITH D. ROBERTS

TITLE:
FIRE RISK ASSESSMENT
Site Area/Department Date

Identify Fire Hazards

Description Action Reqd?
Sources of Ignition Yes No
(electrical fittings, smoking, heating, open flames)
Sources of Fuel Yes No
(furniture, textiles, cardboard)
Sources of Oxygen Yes No
(ventilation)

Evaluate the Risk & Adequacy of Existing Fire Safety Measures

Responsible Target
Ref Item Y N NA Provide comment if No Action to be Taken
Person date
1 Means of Escape
1 Are the escape routes from the areas adequately protected?
2 Are the number, siting and width of the means of escape adequate?
3 Are the means of escape adequately signposted and kept clear of obstruction?
4 Are the internal fire doors clearly labeled?
5 Are the self-closing devices on internal fire doors in working order?
Can all fire exit doors be easily and immediately opened from the inside without
6
the use of a key?
2 Process Risks
1 Is the area free from process risks?
2 Are suitable fire safety features fitted to all plant and machinery?
3 Is there a planned maintenance schedule for plant and machinery?
4 Are there adequate safeguards where flammable substances are used?
5 Is there a satisfactory procedure for reporting faults and defects?
6 Is there a satisfactory procedure for “hot work”?

D001105804 (A.3) © 2009 Weatherford International, Inc.

This document is copyrighted and, whether patentable or non-patentable subject matter, embodies the proprietary and confidential information of Weatherford. Recipients agree it is loaned in confidence with the understanding that neither it nor the
information in it will be reproduced, used or disclosed in whole or in part for any purpose except the limited purpose for which it is loaned. This document shall be returned to Weatherford upon demand.
 ENTERPRISE EXCELLENCE FORM
FORM NUMBER: REV: PAGE: ORIGINAL ISSUE DATE: REVISION DATE:
3-4-GL-GL-SCS-00005 0 2 of 5 16/JUL/2010 DD/MMM/YYYY
TITLE:
FIRE RISK ASSESSMENT
Responsible Target
Ref Item Y N NA Provide comment if No Action to be Taken
Person date

3 Housekeeping
1 Is combustible material kept away from sources of heat?
Are flammable substances or combustible materials suitably located and kept
2
in appropriate quantities?
3 Is there any accumulation of wastepaper or other combustible material?
Are all furnishings in good condition, such that the filling material is not
4
exposed?
Are heating appliances fixed in position at safe distance from any combustible
5
materials, and adequately guarded?
4 Heating
1 Is the siting of appliances satisfactory?
2 Is the heating system regularly maintained?
5 Building and Maintenance Work
Is there a contractor’s policy and an appropriate “Permit to Work” system in
1
place?
6 Fire Alarm and Detection
1 Is there adequate means of giving warning in case of fire?
7 Before Premises are Vacated
Before the area is vacated are checks carried out to ensure:
1 The building is secure against unauthorised entry?
2 All doors are closed?
Non-essential electrical equipment is switched off and where appropriate
3
unplugged?
4 Smoking materials are not left smouldering?
5 All rubbish waste is removed?
6 All combustible and flammable materials are safely stored?

© 2009 Weatherford International, Inc.

This document
D001105804 is copyrighted and, whether patentable or non-patentable subject matter, embodies the proprietary and confidential information of Weatherford. Recipients agree it is loaned in confidence with the understanding that neither it nor the
(A.3)
information in it will be reproduced, used or disclosed in whole or in part for any purpose except the limited purpose for which it is loaned. This document shall be returned to Weatherford upon demand.
 ENTERPRISE EXCELLENCE FORM
FORM NUMBER: REV: PAGE: ORIGINAL ISSUE DATE: REVISION DATE:
3-4-GL-GL-SCS-00005 0 3 of 5 16/JUL/2010 DD/MMM/YYYY
TITLE:
FIRE RISK ASSESSMENT
Responsible Target
Ref Item Y N NA Provide comment if No Action to be Taken
Person date

8 Electrical Equipment
1 Is all electrical equipment tested regularly by a competent person?
2 Are all electrical cables run only where damage is unlikely?
3 Does a qualified electrician carry out all electrical repairs?
4 Are sockets free from being overloaded by use of multi-point adapters?
5 Has the electrical installation been tested within the last five years?
9 Smoking
1 Is the area a smoking free zone?
2 Is there a designated smoking area?
3 Is the designated smoking area satisfactory?
10 Kitchen
Have staff been instructed in the correct use of equipment and how to prevent a
1
fire occurring?
2 Are the main electrical switches and gas stopcocks clearly indicated?
3 Can they be closed down in the event of a fire? (Automatically or Manually)
11 Electrical Systems
Are the fire alarm call points and sounders correctly sited and free from
1
obstruction and damage?
2 Is the fire alarm signal audible throughout the area, with all doors closed?
3 Is there a record of Periodical testing and regular maintenance of the system?
12.0 Emergency Lighting
1 Is there provision of emergency lighting?
2 Is the emergency lighting inspected at appropriate intervals?
3 Is a record kept of the inspections?

© 2009 Weatherford International, Inc.

This document
D001105804 is copyrighted and, whether patentable or non-patentable subject matter, embodies the proprietary and confidential information of Weatherford. Recipients agree it is loaned in confidence with the understanding that neither it nor the
(A.3)
information in it will be reproduced, used or disclosed in whole or in part for any purpose except the limited purpose for which it is loaned. This document shall be returned to Weatherford upon demand.
 ENTERPRISE EXCELLENCE FORM
FORM NUMBER: REV: PAGE: ORIGINAL ISSUE DATE: REVISION DATE:
3-4-GL-GL-SCS-00005 0 4 of 5 16/JUL/2010 DD/MMM/YYYY
TITLE:
FIRE RISK ASSESSMENT
Responsible Target
Ref Item Y N NA Provide comment if No Action to be Taken
Person date

13 Instruction and Training

Are all staff trained in the procedures to be adopted in the event of a fire
1
including:
a Action to be taken when discovering a fire?
b How to raise the alarm and the procedure this starts?
c Action to be taken when hearing the alarm?
d Arrangement for calling the Fire Brigade?
e Evacuation procedure to an assembly point at a place of safety?
2 Is the above training given at induction and at regular intervals thereafter?
3 Are records kept of training and instruction?
Are there arrangements to have casual workers and contractors shown the
4
means of escape?
Are printed notices clearly displayed stating the action to be taken upon
5
discovering a fire or hearing the fire alarm?
14 Automatic Fire Detection System
1 Does the area have an automatic detection system?
2 If not, is automatic detection required?
3 Is there a record of regular inspection and maintenance of the system?
15 People at Significant Risk
Are there any persons at significant risk, in case of fire, within the area?
1
If yes, give details:
Do the Fire Safety procedures take adequate account of persons at significant
2
risk?

© 2009 Weatherford International, Inc.

This document
D001105804 is copyrighted and, whether patentable or non-patentable subject matter, embodies the proprietary and confidential information of Weatherford. Recipients agree it is loaned in confidence with the understanding that neither it nor the
(A.3)
information in it will be reproduced, used or disclosed in whole or in part for any purpose except the limited purpose for which it is loaned. This document shall be returned to Weatherford upon demand.
 ENTERPRISE EXCELLENCE FORM
FORM NUMBER: REV: PAGE: ORIGINAL ISSUE DATE: REVISION DATE:
3-4-GL-GL-SCS-00005 0 5 of 5 16/JUL/2010 DD/MMM/YYYY
TITLE:
FIRE RISK ASSESSMENT
Responsible Target
Ref Item Y N NA Provide comment if No Action to be Taken
Person date

16 Fire Fighting Equipment

Hand-held Extinguishers
1 Is there an adequate provision of hand-held extinguishers?
2 Are extinguishers sited satisfactorily?
3 Are extinguishers on wall brackets or a suitable base plate?
4 Are fire extinguishers correctly colour-coded and labelled?
Are fire extinguishers tested at least every 12 months and are the tests
5
recorded?
Risk Category of Area H M L
1 Which category do you feel the area fits into, High, Medium or Low?

Other comments:

Assessment carried out by:

Assessor Job Title Signature Date

Dept Mgr Job Title Signature Date

Review Period 24 Months Next Review Date

© 2009 Weatherford International, Inc.

This document
D001105804 is copyrighted and, whether patentable or non-patentable subject matter, embodies the proprietary and confidential information of Weatherford. Recipients agree it is loaned in confidence with the understanding that neither it nor the
(A.3)
information in it will be reproduced, used or disclosed in whole or in part for any purpose except the limited purpose for which it is loaned. This document shall be returned to Weatherford upon demand.