Title Page

  • Building: 1050 Hull Street - Dawn Building

General Information

  • Fire Door Assembly Location:

  • Type of Operation

  • Hold Open Device

  • Special Locking Arrangement

  • Number of Leafs

  • Fire Rating of Each Leaf

  • Purpose of Barrier

Door Operation

  • 1. Does the active door leaf completely close when operated from the full open position?

  • 2. Does the inactive leaf close before the active leaf when a coordinator is used?

  • 3. Does the latching hardware operate and secure the door in the closed position?

  • 4. Are the doors, hinges, self-closers, frame, hardware and threshold functional with no visible signs of damage?

  • 5. Is the door assembly free from any auxiliary hardware which could interfere with its operation?

  • 6. If gasketing and edge seals are installed, have they been verified for integrity and operation?

Door & Frame Integrity

  • 1. Frame is secured to the wall and in good condition?

  • 2. Door is properly secured to the frame and in good condition?

  • 3. Door and frame labeling is present and legible?

  • 4. The door and frame are free of holes and breaks on all surfaces?

  • 5. Is the door free from missing or broken parts?

  • 6. Glass (if provided) is proper type and in good condition?

  • 7. Is the clearance from the door edge to the frame or door-to-door in double leaf assemblies no more than 1/8" for wood doors? (1/8" +/- 1/16" for steel doors)

  • 8. Is the door undercut no more than 3/4"?

  • 9. Is the door free from any modifications since it was originally installed?

  • 10. Is 95% of the surface of the door free from signage?

Fire Exit Hardware

  • 1. Fire exit hardware is in good condition and functions properly?

  • 2. Hardware is at least 34" and not more than 48" above the floor?

  • 3. Hardware push-bar covers at least half the width of the door?

  • 4. The force required to release the fire exit bar latch does not exceed 15lbf?

Hold-Open Devices

  • 1. Only approved hold-open methods/devices are used?

  • 2. Electronic hold-open devices release properly?

  • 3. Power-Assisted doors function properly and close automatically within 30 seconds?

Access-Controlled Doors

  • 1. A sensor is provided on the egress side that unlocks the door when someone approaches?

  • 2. Doors unlock in the direction of egress in the event of a power failure to the lock or control system; activation of the fire alarm; or activation of the sprinkler or detection system?

  • 3. A manual release device is located on the egress side within 60" of the door and 40"-48" above the floor?

  • 4. The manual release device is readily accessible and identified with a sign that reads: "Push to Exit"

  • 5. The manual release device unlocks the door for at least 30 seconds?

Delayed-Egress Locking Systems

  • 1. The door unlocks within 15 seconds of manual activation of the release device?

  • 2. The force required to activate the release device does not exceed 15lbf?

  • 3. The force is not required to be continuously applied for more than 3 seconds?

  • 4. The activation of the release device initiates an audible alarm within the vicinity of the door?

  • 5. Relocking of the door is by manual means only?

  • 6. A readily visible sign is provided that reads: "Push Until Alarm Sounds; Door Can Be Opened In 15 Seconds"

  • 7. The sign is placed on the door leaf adjacent to the release device in the direction of egress?

  • 8. The sign letters are at least 1" high and at least 1/8" in stroke width, on a contrasting background?

  • 9. The doors unlock upon loss of power, activation of sprinkler system; activation of 1 heat detector or 2 smoke detectors?

  • Inspected By:

  • Additional Information

  • Signature:

  • Select date

  • Source: NFPA 80, 2013 edition

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