Title Page
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Site conducted
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Site conducted
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Conducted on
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Prepared by
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Location
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Site:
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Maintenance company name:
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Registered Maintainer’s name:
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Intended fire rating:
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Doorset reference:
- Block 1
- Block 2
- Block 3
- Block 4
- Block 5
- Block 6
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Floor
- -2
- -1
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
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Door type
- Room door 1
- Flat entrance
- Lift utility door
- Kitchen door
- Kitchen utility door
- Corridor utility door
- Stair lobby door
- Room door 2
- Room door 3
- Room door 4
- Room door 5
- Room door 6
- Room door 7
- Room door 8
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Door number
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Test evidence available:
Door Leaf
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Overall condition?
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Edge condition?
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Bowed or twisted?
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Leaf thickness
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Door gaps
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Give margin sizes (⬅️⬆️➡️⬇️)
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Rectification required
Door Frame
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Overall condition
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Securely fixed & correctly installed
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
Seals
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Overall condition
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
Hardware
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Hinge condition
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Hinge operation
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Lock/Latch operation
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Door closer
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Hold open device operation
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
Glazing
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Condition
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Glass type
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Glass condition
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
Other
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Appropriate signage
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Art. no.
- 1 - Lipping repair
- 2 - Over recessed hardware
- 3 - Door frame joints
- 4 - Door gaps too large
- 5 - Closer not operating correctly
- 6 - Door leaf out of alignment
- 7 - Moisture content too high
- 8 - Hinges dropped
- 9 - Incorrect frame to leaf gaps
- 10 - Operational maintenance
- 11 - Damaged perimeter seal
- 12 - Misaligned matching hardware
- 13 - Hinge fixings are loose
- 14 - Damaged glazing and glass
- 15 - Split lipping at hinge fixing
- 16 - Architrave re-fitting and sealing
- 17 - Replacement door leaf
- 18 - Replacement doorset
- 19 - Fire door signage
- 20 - Replacement door frame
- 21 - Repair door frame
- 22 - Smoke control
- 23 - Calling in expertise
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Date:
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Joiner’s Name:
