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Fire Risk Assessments in Hospitals – What You Need to know

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A fire in any building can be devastating, but even more so in a hospital environment.

Vulnerable patients, flammable materials, and visitors unfamiliar with the building layout can mean a fire can cause significant injuries as well as loss of life.

This means it’s critical to develop a thorough fire risk assessment to identify any problems before they become major issues.

We’ve put together a list of questions people ask us about fire risk assessments in hospital environments, including who is responsible for completing a fire risk assessment in the NHS.

What is a fire risk assessment?

A hospital fire risk assessment identifies any potential fire risks in a building and the actions that must be taken to make the building safer.

For example, take the lifts in a hospital, which are used to transport heavy equipment, as well as patients and visitors who cannot use the stairs. Most lifts shouldn’t be used in the event of a fire unless they’re specifically designed for evacuation purposes. This means it’s critical to know how to get vulnerable people out of the building.

There are typically five steps to conducting a fire risk assessment in a hospital:

  1. Identify any potential hazards
  2. Identify people at risk, especially those who are most vulnerable
  3. Remove and reduce the risk of the hazards identified
  4. Record the results of the assessment and introduce relevant staff training
  5. Review and reassess the assessment

Is a fire risk assessment in a hospital a legal requirement?

Yes. Under the Regulatory Reform (Fire Safety) Order 2005, fire risk assessments are a legal requirement in all commercial buildings.

A fire risk assessment must be written down if there are over five employees in a building. Given that many people work in a hospital, it’s a certainty that this will apply to a hospital environment.

Who is responsible for completing a fire risk assessment in a hospital?

The ultimate responsibility for health and safety in a hospital falls with the hospital’s NHS Trust Board. However, they will delegate the completion of a fire risk assessment to someone else.

The Regulatory Reform (Fire Safety) Order 2005 states that the person carrying out a hospital fire risk assessment must be ‘competent’. This means they know enough about fire safety to ensure the assessment is conducted correctly.

The fire risk assessment can be done by someone directly employed at the hospital (for example, the QHSE team) or an external fire risk assessor.

Find out more about duty holders and responsible persons.

How often should I review my hospital fire risk assessment?

A fire risk assessment needs to be reviewed regularly to take any changes to the environment, alterations to the building layout, and occupancy levels into account.

There aren’t any legal guidelines regarding how often a fire risk assessment should be reassessed. However, we recommend reviewing at least once a year, or if there is a significant change to your hospital layout, for example, if you extend the building or move a department onto another floor.

Hawkesworth: your fire risk assessment specialist

If you’d like to know about conducting fire risk assessments in hospitals, you can find a detailed guide on the gov.uk website.

Not sure where to start with a fire risk assessment? It could be worth bringing in the experts.

With over 30 years of health and safety experience, our network of skilled, professional, and knowledgeable fire risk assessors will keep your hospital, doctor’s surgery, or healthcare building safe.

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Julie Hutson
09:37 02 Apr 26
We have been using Hawkesworth for many years. They provide a first class service, with friendly knowledgeable staff.
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Kealey Manvell
17:58 19 Feb 26
Great service - arrived on time to carry out PAT testing with no fuss! Would highly recommend!
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Kirsty Jones
14:39 19 Feb 26
Easy communication with a reliable and efficient service.
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Steve Widnell
09:55 18 Feb 26
Friendly, efficient and helpful service from the engineer
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L Vaughan
14:53 11 Feb 26
Can I just say that Alistair was a great ambassador for your company and was really efficient, professional and friendly.
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Paul Cowell
15:35 28 Jan 26
We had our yearly Pat Testing completed. The operative was very friendly and helpful. I would recommend to anyone who is considering using Hawkesworth and we will definitely be using them moving forward annually ...
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Sophie Hodkinson
16:36 13 Jan 26
Both very professional, approachable and very well organised, which made the whole process run smoothly. Everything was explained clearly, disruption was kept to a minimum, and it was obvious they take pride in doing the job properly.

Several people commented on how efficient and pleasant you were to deal with.

Thanks again for your hard work — it was genuinely appreciated. We would be more than happy to have the same engineers again next year.
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Chris Holbrow
16:04 11 Dec 25
I’ve been using Hawkesworth for over seven years across various businesses for PAT testing, and they have consistently delivered an outstanding service. The booking and planning team are always friendly, helpful, and efficient, making the process smooth from start to finish.
The engineers they send are professional, polite, and trustworthy, qualities that really matter when working on-site in financial businesses. Our regional office managers have repeatedly commented on how impressed they were with the care and consideration shown during testing, both for our property and our staff.
Hawkesworth truly go above and beyond to provide a turnkey solution that ensures PAT testing is carried out correctly and with minimal disruption. I would 100% recommend them to anyone looking for a reliable, customer-focused company.

Thank you, Hawkesworth!
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Nicholas Burn
11:42 04 Dec 25
As a new customer of Hawkesworth, I wanted to share my positive experience after using multiple services. From the moment I submitted an online enquiry, I received an immediate response—Debbie was incredibly helpful in explaining all the services Hawkesworth offers.

The follow-up process was seamless, with appointments scheduled promptly and honored as agreed. Every engineer who visited our site delivered exceptional service. They kept us informed about upcoming visits, arrived on time, and throughout the work, they were attentive to our company’s needs, going above and beyond to ensure excellent customer care.
The services provided included PAT testing, fire extinguisher checks, and emergency lighting inspections.

Based on this experience, I would highly recommend Hawkesworth to other businesses.
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Gaby Wilks
07:20 28 Oct 25
GeneFirst Ltd has been using Hawkesworth Appliance Testing for the last 2 years at our current site location.
Last year I had the pleasure of meeting Kobla Dogbatse the PAT engineer from Hawkesworth and he was fantastic.
Kobla, was efficient and thorough with his work, he was polite and pleasure to have on site.
He was respectful to all staff members by trying to limit any distraction or disturbance when conducting his work on any appliances that the team would be using.
This year I was lucky enough to have Kobla come back and I was thrilled to have him back as I knew the work would be done to the highest standards.
I allowed him to continue with his work without supervision and once finished he came into my office with a smile on his face and said everything is done and its all good.
I would highly recommend Hawkesworth to other companies as they are efficient with their communication and their engineers are a pleasure to have on site.
Thank you again for the great work and I hope to continue using your services in the future.

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