Background: Most of the global fire events have occurred due to failure in Fire Safety Management (FSM), which is the most important aspect of fire safety. Several risk assessment techniques developed in the field of fire safety management over time. This indicates a failure of the FSM. The purpose of this study is to evaluate fire safety management using the 10-item categories of the Howarth model in a Super Specialized Hospital in Tehran, Iran. Methods: This paper studies ten important factors which are used to evaluate the safety level of fire in a super Specialized Hospital in Tehran. To do it, the analytical hierarchy process (AHP) was used to rank FSM criteria based on their importance. The questionnaire was given to 15 FMS experienced fire safety experts. Data were analyzed using "Expert Selection" software.The evaluation model is suggested based on the experts' judgment. In order to test the model, a physical inspection was conducted at one of the Super Specialized Hospital in Tehran. Results: The results of studying the ten important parameters of risk management showed that the maximum weighing (0.126) was related to risk assessment and the minimum weighing (0) was related to the compliance with fire safety regulations. The total score of the ten parameters of FSM was 0.414 which indicates that the hospital was at a very low level of FSM. Conclusions: the FSM level, based on using the FSM assessment, showed that the FSM score was very low, so preventive measures are needed.