Title Page
-
Site conducted
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
-
Site:
-
Maintenance company name:
-
Registered Maintainer’s name:
-
Intended fire rating:
-
Doorset reference:
- Block 1
- Block 2
- Block 3
- Block 4
- Block 5
- Block 6
-
Floor
- -2
- -1
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
-
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
-
Test evidence available:
Door Leaf
-
Overall condition?
-
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
-
Edge condition?
-
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
-
Bowed or twisted?
-
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
-
Leaf thickness
-
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
-
Door gaps
-
Give margin sizes (⬅️⬆️➡️⬇️)
-
Rectification required
Door Frame
-
Overall condition
-
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
-
Securely fixed & correctly installed
-
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
-
Overall condition
-
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
-
Hinge condition
-
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
-
Hinge operation
-
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
-
Lock/Latch operation
-
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
-
Door closer
-
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
-
Hold open device operation
-
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
-
Condition
-
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
-
Glass type
-
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
-
Glass condition
-
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
-
Appropriate signage
-
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
-
Date:
-
Joiner’s Name:
