In the densely populated Kathmandu Metropolitan City, inadequate fire service coverage poses a significant fire risk. With the demand for fire services increasing due to rapid growth in population and infrastructure development, the limited number of fire stations, insufficient human and physical resources, poor street connectivity, narrow streets, and delays in response to calls for emergency services have resulted in significant property loss, environmental impact, serious injuries, and even loss of life. Although a substantial body of research exists on understanding fire patterns and fire station site selection in developed countries, there is a noticeable lack of similar research in developing countries, which can be attributed to a lack of available data and interest. This study utilises ward-level urban fire incident data in Kathmandu from July 2019 to February 2023 to examine the spatial pattern of fire risk, fire service coverage and identify potential sites for fire stations. Results reveal a significantly higher fire rate in the central part of the city. Fire rescue service cannot reach most areas in Kathmandu within 5 min, with some areas exceeding 10 min response time. The findings from this study will enable fire agencies to enhance the operational efficiency of emergency response and help develop policies and programs related to fire risk prevention and mitigation. This includes targeted education and awareness campaigns and the allocation of finite fire service resources, such as the strategic placement of fire stations.