Prototype intake form (separate from the signed-in MIS). Report potential fire hazards here — not fires (those are CPINs) or audit follow-up dialogue (use Business Support). Submissions with a matched premises record appear under Unassigned; unmatched addresses under Premises needed. Open CPFSI prototype

Report a safety concern

Log a potential fire hazard at Crown premises for inspector triage. The Duty Holder is notified automatically on submission.

* denotes a required field

Report details

Date reported

Source

Complainant

Name of complainant

Leave blank if anonymous.

Complainant e-mail

Contact number

Premises

Search the locations register. If not listed, leave blank and enter the address below.

Address of premises

Premises not in system or not found

If you cannot find the premises above, enter the full address or site description here.

Hazard details

Hazard type

RAG severity

How urgent is this hazard? Inspectors may override after review.

Green Low risk — no immediate injury concern; typical monitoring or Duty Holder self-fix
Amber Moderate risk — action may be required; inspector triage expected
Red Serious hazard — urgent attention required

Hazard description

What was observed? Where on site? Who reported it? Use plain language.

Report received

Your submission has been saved for prototype testing. Inspectors can triage it in the main app. The Duty Holder is notified automatically on submission.

Go to Safety Concerns queue (sign in).