The hole in the floor is to allow any gas to escape should there be a leak as gas is heavier than air. In some conversions this hole can also double up as a cool air intake allowing air to be drawn in over the heat exchanger and out of the upper vent (Autosleepers I believe) but the hole is bigger than 1.5" diameter IIRC. Some conversions vent the heat internally into the camper itself, and some (westys) do have a fan to assist the air flow on top of this.
Komet's usually have the small hole in the floor and (much larger) upper and lower ventilation grills - I assume yours lacks the lower grill? Is the upper grill the standard size of grill?
Why not just try the fridge and see how it performs? The heat exchanger won't start a fire but if it cannot be supplied with sufficient cooling air flow the fridge will struggle to keep cold - especially so in hot weather.
You certainly shouldn't install a fan over the hole in the floor as it would interfere with it's primary function of emergency gas venting should a leak develop.
When driving along in heavy rain I run my fridge with the vent covers fitted. The fridge does get cold but noticably less so than when the covers are off.
In an ideal world of maximum efficiency, the heat exchanger would stick out of the side of the van
