FOR A COMPLETE, PROFESSIONAL HOME RISK ASSESSMENT VISIT TO YOUR HOME - PLEASE INDICATE ON THIS FORM 

Fill in our online home risk assessment form - and we will get back to you with help & advice
General The Bathroom
1 Have you got an escape plan? 15 Are heaters fixed out of reach of taps, high on a wall?
2 Has the escape plan been practiced? 16 Are the light and heater controlled by a pull cord?

3

Is there at least one smoke detector fitted per floor?

 17  Are portable heaters kept away from the bathroom?
4 Have you tested your smoke alarm lately? Bedrooms
5 Do you have your gas appliances maintained regular? 18 How many bedrooms do you have?
6 Are plugs switched off at the mains and/or unplugged when not in use? 19  If you smoke in bed, is a deep ashtray available?
7 Are heaters kept away from furniture or fittings? 20 Has the electric blanket been serviced?
Living / Dining Room 21 Is the electric blanket stored with few folds, with nothing on top?
8 Is there a guard around the fire 22 Are there any scorch marks on the electric blanket?
9 Is there a mirror above the fireplace 23 Does your electric blanket have the BS kitemark and BEAB on it?
10 Are chimneys swept regularly? 24 Are there any candies or materials to subdue lighting?
Kitchen
11 Are towels kept clear of the cooker? Would you be interested in a free assessment carried out in your own home by 2 firefighters from Shirebrook station? 
12 Are flexes kept away from hotplates? If you are interested in the home assessment when will it be convenient for us to telephone you to make these arrangements?
best time to call
13 Is the chip pan more than one third full?
14 Do you know how to deal with a chip pan fire?

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Submit your form and we will personally check your questionnaire and Email you back within 48hrs with any help or advise that we feel you require?

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