Fire Safety Management Plan — Client Information Form

🏢 Building Details

Building Name *

Building Address * (Full street address including suburb, state, postcode)

CTS / Strata Number (if applicable)

Building Class *

Construction Type *

Number of Storeys *

Effective Height (metres) (floor of top occupied level above lowest ground level)

Total Floor Area (m²) *

Number of Units / Tenancies

Maximum Occupancy (persons) *

Fire Indicator Panel (FIP)

Does the building have a Fire Indicator Panel (FIP)? *

Yes No Unknown

FIP Location (e.g. ground floor lobby)

Performance Solutions

ℹ️

A performance solution is an alternative fire safety design approved under the NCC/BCA. If your building has one, describe it briefly below.

Does the building have a Performance Solution?

No Yes

Performance Solution Description (if Yes)

🏠 Building Owner

Owner Name / Entity *

Owner Address *

Owner Phone *

Owner Email *

🏢 Building Occupier / Body Corporate

ℹ️

For strata / body corporate buildings, the body corporate is responsible for FSMP compliance and submitting the annual Occupier's Statement.

Occupier / Body Corporate Name *

Occupier Address *

Occupier Phone *

Occupier Email *

👤 Building Manager

Manager Name *

Management Company

Manager Address

Manager Phone *

After Hours Phone

Manager Email *

📋 Who Keeps This Fire Safety Plan Up to Date?

Who in your building will be responsible for keeping this plan current, organising the annual review, arranging evacuation drills, and ensuring fire safety equipment is maintained? Usually the building manager, body corporate chairperson, or business owner.

Name	Role	Phone	Email

⚠️

Required by BFSR 2008: All buildings must appoint a Chief Warden (Evacuation Coordinator). Their name and appointment date must be recorded in this plan. For buildings with 30+ workers or >25m effective height, a qualified Fire Safety Adviser must also be appointed.

🚒 Chief Warden / Evacuation Coordinator

Chief Warden Name *

Phone *

Appointment Date *

Training Completed Date

🚒 Deputy Chief Warden

Deputy Warden Name

Phone

Appointment Date

Training Completed Date

🏢 Floor / Area Wardens (Responsible Persons)

Add one warden per floor or area. Leave blank if not applicable for a small building.

Name	Area / Level	Phone	Email	Appointment Date

📍 Assembly Area

ℹ️

The assembly area must be clearly described and shown on all evacuation diagrams. It should be at a safe distance from the building, away from roads and emergency vehicle access.

Assembly Area Description *

Additional Notes

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BFSR 2008 s.12: The fire and evacuation plan must include provisions for evacuating persons with a disability or mobility impairment. A Personal Emergency Evacuation Plan (PEEP) should be developed for each identified person. If there are no known persons requiring special assistance, simply confirm below and leave the table blank.

♿ Persons Requiring Special Assistance During Evacuation

Are there any known persons in this building who require special assistance to evacuate?

Yes — details below No known persons at this time

Name / Unit	Nature of Need	Assigned Assistance Person	PEEP in Place?

ℹ️

Please provide photographs of the building and assembly area, plus any existing evacuation diagrams. These will be inserted into your Fire Safety Management Plan. Accepted formats: JPG, PNG, PDF.

📷 Building Photograph

A clear photo of the front of the building, showing the main entrance. This will appear on the cover page of your FSMP.

🏢

Drop building photo here or click to browse

JPG or PNG — max 10MB

If you cannot upload now, describe the photo you will provide:

📷 Assembly Area Photograph

A photo clearly showing the assembly area location.

📍

Drop assembly area photo here or click to browse

JPG or PNG — max 10MB

🗺️ Evacuation Diagrams

Upload any existing evacuation diagrams (floor plans) for the building. One per floor level if available. If no diagrams exist, Essential Fire Protection can prepare these for you.

🗺️

Drop evacuation diagram(s) here or click to browse

JPG, PNG, or PDF — up to 5 files

Evacuation Diagram Notes

📎 Additional Documents

Upload any other relevant documents (e.g. existing maintenance records, previous FSMP, building approval, performance solution report).

📎

Drop additional files here or click to browse

PDF, Word, or images — max 50MB total

📝 Additional Notes

Any other information you'd like us to know?

✅

Almost done! Please review the information below, then click Submit Form to send it directly to Essential Fire Protection. No files to attach — just click and you're done.

📋 Review Your Submission

📤 Submit Your Form

Click Submit Form to send your information directly to Essential Fire Protection. We will be in touch within 2 business days to discuss your Fire Safety Management Plan.

📸

Photos & evacuation diagrams:
After submitting, please email any building photos and floor plan diagrams to service@essentialfireprotection.com.au — our team will match them to your submission.

✅

Form Submitted Successfully

Thank you — your building information has been sent directly to Essential Fire Protection.

Please also email any building photos and evacuation diagrams to service@essentialfireprotection.com.au and we will match them to your submission.

We will be in touch within 2 business days.