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Fire Risk Assessor Application FormPersonal Details
Titl
e
First
Name(s)
Family Name
Home Address Line 1 Personal Mobile
Home Address Line 2 Personal Email
Home Address Line 3 Home Telephone
Town/City
County Gender
Post Code Date of Birth
Non-IFE Post Noms
Current IFE Membership Grade and Number (if applicable)
Present Employment
Name of Organisation Website
Work Address Line 1 Work Mobile
Work Address Line 2 Work Email
Work Address Line 3 Work Telephone
Town/City
County Job Title
Page 1 of 8 Fire Risk Assessor Application Form 0114
Post Code Reporting To
Date Employment Started (dd/mm/yy)
Fire Risk Assessor Stream(s) Applied For:
Life Safety
Property Protection
Area of Involvement:
Commercial Internal to Organisation
Commercial Internal to Organisation
Fire Safety Education Please note: If you are a registered CEng or IEng
with the IFE you do not need to complete this section
Name of Course Provider
Name of Course
Course Start Date Course End Date
Course Objectives
Name of Course Provider
Name of Course
Course Start Date Course End Date
Course Objectives
Name of Course Provider
Name of Course
Course Start Date Course End Date
Course Objectives
Name of Course Provider
Page 2 of 8 Fire Risk Assessor Application Form 0114
Preferred Contact Details: Home/Work
Name of Course
Course Start Date Course End Date
Course Objectives
Please continue on a separate sheet if necessary.
Specific Fire Risk Assessment Training
Name of Course Provider
Name of Course
Course Start Date Course End Date
Course Objectives
Name of Course Provider
Name of Course
Course Start Date Course End Date
Course Objectives
Name of Course Provider
Name of Course
Course Start Date Course End Date
Course Objectives
Name of Course Provider
Page 3 of 8 Fire Risk Assessor Application Form 0114
Name of Course
Course Start Date Course End Date
Course Objectives
Please continue on a separate sheet if necessary.
Fire Safety ExperiencePlease note: If you are a registered CEng or IEng with the IFE you do not need to complete this section
Dates What was done and in what capacity Relevance
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Fire Risk Assessments
Please give details of the Fire Risk Assessments carried out by you relevant to your application i.e. Life Safety or Property Protection. Please note that different areas of the same building are not deemed to constitute different fire risk assessments, even if they are subject to separate reports. The Professional Review Panel will pick a number of assessments listed below to review. With this in mind, you are advised to ensure that you are confident with the content of the Fire Risk Assessments that you list below.
Date
(dd/mm/yy)
Location, size and type of premises
e.g. Cardiff, 3 Storey Office Block
Section (Life Safety or
Property Protection)
Page 5 of 8 Fire Risk Assessor Application Form 0114
Please continue on a separate sheet if necessary.
RefereesPlease provide details of referees for whom you have personally carried out a fire risk assessment, on their organisation’s premises. An employer or line manager is only accepted as a referee if you have carried out assessments internal to your organisation. You will need to refer to Guidance for Fire Risk Assessor Applicants to determine how many referees you will need.
Name of Referee Job Title
Name of Organisation Website
Organisation Address
Date of last Fire Risk Assessment carried out personally by you. (dd/mm/yy)
Name of Referee Job Title
Name of Organisation Website
Organisation Address
Date of last Fire Risk Assessment carried out personally by you. (dd/mm/yy)
Name of Referee Job Title
Name of Organisation Website
Organisation Address
Page 6 of 8 Fire Risk Assessor Application Form 0114
Date of last Fire Risk Assessment carried out personally by you. (dd/mm/yy)
Name of Referee Job Title
Name of Organisation Website
Organisation Address
Date of last Fire Risk Assessment carried out personally by you. (dd/mm/yy)
Terms and Conditions of Application to Register of Fire Risk Assessors
1. Inclusion on the IFE Register of Fire Risk Assessors is in the absolute discretion of the Institution of Fire Engineers (IFE) and in particular, inclusion on the Register will not be granted to or may be withdrawn from any person who acts in a manner deemed to be inappropriate or in a manner considered to bring the IFE into disrepute.
2. The IFE expects assessors to provide appropriate evidence of their expertise and professional qualifications and that the client / user receiving the services is entitled to undertake interviewing and reference taking as necessary to satisfy themselves of the competence of the assessor in relation to the services required.
3. Professional indemnity and public liability insurance is not provided by the IFE and assessors should carry such insurance themselves. It is the responsibility of any clients / users to satisfy themselves as to any such requirement in the context of the relationship with the assessor, making provisions where necessary.
4. The IFE's evaluation of the suitability of the assessor to be included on the IFE Register of Fire Risk Assessors is entirely at the discretion of the IFE and the applicant has no rights to bring any claim against the IFE, or to the extent that the IFE does not approve the assessor’s application, or requires the application to be resubmitted for any reason.
I confirm that I have read and accept the Terms and Conditions of Application to Register of Fire
Risk Assessors.
I attach copy certificates of my fire safety education (if you are not an IFE registered CEng or IEng) and my fire risk assessment training.
I confirm that I have professional indemnity insurance and public liability insurance
I confirm that I have read the Guidance for Fire Risk Assessor Applicants.
Page 7 of 8 Fire Risk Assessor Application Form 0114
I enclose payment for my application fee (alternatively, please call to pay by credit or debit card on 01789 261463)
I confirm that all information provided in this application form and within any supporting documents is entirely true and accurate to the best of my knowledge.
Signed ________________________________ Date: _______________
Page 8 of 8 Fire Risk Assessor Application Form 0114