Background: Most of the global fire events have occurred due to default in Fire Safety Management or FSM, that is the main aspect of safety of fire. Various risk assessment methods developed in the field of fire safety management over time. This indicates a failure of the FSM. Objective: The aim of the current study is to assess the approaches related to fire risk investigation of hospitals facilities, the target of recognizing and removing fire create main risks, and necessities of the present regulation and legislation. Methods: This cross-sectional descriptive study and all score of items using a checklist were conducted in 15 hospitals of the selected Hospitals of Tehran and Tabriz. In this study numerous research activities performed such as recognizing the collection of factors which presented in hospital facilities a hazardous type of facilities in fires; checking hazardous places to fires in hospitals; discovering the task of hospitals top management in regard hospitals facilities; understanding the concept and meaning of management of fire risk as well as the task of fire safety responsibles and inspections as a hazard reduction planning process to verify the adherence of present hospitals to fire safety laws and regulations. Therefore, it resulted in the improvement of a qualitative risk assessment of fire. Results: This article indicated that because of the combination of various risk factors of hospitals, facilities are high-risk for occurrence of fire. Also, the fire risk assessment performed 72 items including seven main partitions, containing exit doors, fire doors, systems of fire protection, hazardous materials, electrical, housekeeping and other cases. Conclusion: This study showed better conception of the role of hospitals top managers concerning facilities of working safe hospitals and it suggested remedial actions for hospital managers to prevent the occurrence of fire and crisis. The present research highlights the obedience of present hospitals to fire safety laws and regulations to guarantee the least safety level for people in total of hospitals properties. It helps to increase comprehend the potential risks and dangers existing in hospitals.