Fault Identification & Non‑Conformance Review in Fire Safety
From Knowledge to Action: Fault Identification and Non‑Conformance Review in Fire Safety Risk Management
Table of Contents
Task Purpose
This task is designed to develop your ability to critically review fire safety documentation
for errors, omissions, or non-conformances. Fire safety systems are only effective
when documented accurately, and this exercise strengthens attention to detail, quality
control, and regulatory compliance awareness.
You will be provided with a sample inspection report and fire risk assessment that
contains intentional inaccuracies and omissions. Your task is to identify all non
conformances, explain why they are incorrect or insufficient, and rewrite the
documentation correctly, demonstrating knowledge of fire safety standards, systems,
and procedures.
Scenario
You have been appointed as the Fire Safety Officer for a commercial building complex.
As part of your responsibilities, you must review the recent Fire Risk Assessment and
Fire System Inspection Report submitted by a newly hired contractor. Upon
inspection, you suspect that some of the information may be incomplete or incorrect.
The documents provided contain:
- Incomplete hazard identification.
- Incorrectly recorded system testing results.
- Missing control measures.
- Incorrect or missing references to fire protection standards and codes.
- Errors in recording access facilities for the Fire Service.
Your task is to review both documents, identify non-conformances, provide justification,
and produce a corrected version.
Documents Provided (Intentionally Flawed)
1. Fire Risk Assessment – Sample Extract
| Area | Fire Hazards Identified | Existing Controls | Risk Rating | Additional Controls Required | Comments |
| Ground Floor Lobby | Combustible furniture | Smoke detector in lobby | Low | None | N/A |
| Kitchen | Cooking appliances, oil spillage | Fire blanket | Medium | Regular training | N/A |
| Server Room | Electrical equipment | None | high | Install sprinklers | N/A |
| Storage Room | Paper files | Fire extinguisher (water) | Medium | Ensure clear access | N/A |
Intentional Errors/Issues:
- Some risks are under-rated (e.g., Ground Floor Lobby should be higher due to
combustible furniture and high occupancy). - Control measures are incomplete (Server Room has “None” for existing controls,
which is inadequate). - Fire extinguishers are not correctly matched to the hazard type (water extinguisher
for paper in high-risk storage may be inappropriate for other potential hazards). - Additional controls are vague (e.g., “Ensure clear access”).
Fire System Inspection Report – Sample Extract
| System | Last Service Date | Status | Issues Found | Action Required |
| Sprinkler System | 15/05/2024 | Pass | None | Next inspection 15/05/2025 |
| Fire Extinguishers | 20/05/2024 | Pass | Expired CO2 extinguisher in Kitchen | Replace at next inspection |
| Emergency Lighting | 10/06/2024 | Pass | Some lights flickering | Monitor monthly |
| Fire Doors | 01/01/2024 | Pass | Door to Server Room blocked | Remove obstruction |
Intentional Errors/Issues:
- Fire extinguisher issue is not addressed urgently.
- Emergency lighting “flickering” is not followed by immediate corrective action.
- Fire door obstruction is recorded but not treated as a non-conformance.
- Dates and statuses are inconsistent with a realistic inspection schedule.
Tasks for the Learner
1. Identify Non-Conformances / Faults
o Review both documents thoroughly.
o List all errors, omissions, or incorrect risk ratings.
o Provide justification for why each is a non-conformance (e.g., regulatory
requirement, risk underestimation, inadequate control measures).
2. Correct the Documents
o Rewrite the Fire Risk Assessment with appropriate risk ratings, hazard
identification, existing controls, and additional control measures.
o Rewrite the Fire System Inspection Report, ensuring all faults are
addressed and corrective actions are realistic and timely.
3. Provide Recommendations
o Suggest improvements for document quality, such as including references
to standards, correct hazard-rating methodology, and procedures to
ensure ongoing compliance.
o Highlight actions to ensure access to the Fire Service is always maintained.
Expected Learner Submission
Part A – Non-Conformance Identification Table Example:
| Document | Non Conformance | Justification | Corrective Action |
| Fire Risk Assessment | Ground Floor Lobby risk rated as Low | High occupancy + combustible furniture increases fire risk | Update risk rating to Medium; ensure fire evacuation signage and fire extinguisher coverage |
| Fire System Inspection Report | CO2 extinguisher expired in Kitchen | Expired extinguisher is unusable in an emergency | Replace immediately and update service records |
Part B – Corrected Documents
- Completed and corrected Fire Risk Assessment table.
- Corrected Fire System Inspection Report table with all issues addressed.
Part C – Recommendations
- Accurate identification of non-conformances.
- Correct application of risk rating methodology.
- Appropriateness and completeness of control measures.
- Alignment with fire safety standards and legislative requirements.
- Demonstrated ability to improve document quality and maintain access for Fire
Service.

