Accc - FS - Site inspection

• Document No.

• Client

• Project Name

• Location
  Address

• Conducted on

  Date

• Construction Stage?

  Rough in

  Gypsum Stage
Installation

Installation

• What is the application?

  Penetration

  Joint

• Photo of installation

  Media

• Installation progress

  In progress (Non destructive)

  Completed (Non destructive))

  Completed (Destructive)

• Detailed location of installation (Floor level, room #, location in room, etc)

• Penetrating item?

  Select Metal pipe or Conduit Combustible pipe (vented) Combustible pipe (process/closed) Cables Cable tray Insulated pipe Electrical busway Duct Structural item Multiple items

  • Metal pipe or Conduit
  • Combustible pipe (vented)
  • Combustible pipe (process/closed)
  • Cables
  • Cable tray
  • Insulated pipe
  • Electrical busway
  • Duct
  • Structural item
  • Multiple items

• Rated assembly?

  Select Gypsum wall Wood Floor Concrete Floor Block Wall Q Deck Hambro Curtain wall non rated roof

  • Gypsum wall
  • Wood Floor
  • Concrete Floor
  • Block Wall
  • Q Deck
  • Hambro
  • Curtain wall
  • non rated roof

• Assembly rating

  Smoke Seal (zero FRR)

  1 Hour F rating

  2 Hour F rating

  2 HOUR FT RATING

  4 HOUR FT RATING

• Tested and listed system number / Engineered Judgment number?

• Neatness

• Tooling

• Correct Products used?

  Yes

  No

  N/A

• Correct depth of product?

  Yes

  No

  N/A

• Annular Space within tolerance?

  Yes

  No

  N/A

• Mineral wool depth?

  Yes

  No

  N/A

• Mineral wool compression?

  Yes

  No

  N/A

• Overall Application rating?

  Acceptable

  Not Acceptable

• Corrective Actions / notes

• Photo of installation

  Media

• Detailed location of installation (Floor level, room #, location in room, etc)

• Installation progress

  In progress (Non destructive)

  Completed (Non destructive))

  Completed (Destructive)

• Rated assembly 1?

  Select Gypsum wall Wood Floor Concrete Floor Block Wall Q Deck Hambro Curtain wall non rated roof

  • Gypsum wall
  • Wood Floor
  • Concrete Floor
  • Block Wall
  • Q Deck
  • Hambro
  • Curtain wall
  • non rated roof

• Rated assembly 2?

  Select Gypsum wall Wood Floor Concrete Floor Block Wall Q Deck Hambro Curtain wall non rated roof

  • Gypsum wall
  • Wood Floor
  • Concrete Floor
  • Block Wall
  • Q Deck
  • Hambro
  • Curtain wall
  • non rated roof

• Joint rating

  Smoke Seal (zero FRR)

  1 Hour F rating

  2 Hour F rating

  2 HOUR FT RATING

  4 HOUR FT RATING

• Tested and listed system number / Engineered Judgment number?

• Tooling

• Neatness

• Correct Products used?

  Yes

  No

  N/A

• Correct depth of product?

  Yes

  No

  N/A

• Joint width within tolerance?

  Yes

  No

  N/A

• Mineral wool depth?

  Yes

  No

  N/A

• Mineral wool compression?

  Yes

  No

  N/A

• Overall Application rating?

  Acceptable

  Not Acceptable

• Corrective Actions / notes

• Site review conducted by:

  Sign