Fire & Smoke Damper Report

• Client / Site

• Conducted on

• Prepared by

• Hotel name

Fire Damper

Damper

• Manufacturer

• Size of damper

• System associated with damper

• Asset number

• Primary location of damper?

• Is the damper Accessible for maintenance ?

  Good

  Fair

  Poor

  Not accessible

• Is the damper fitted correctly ?

  Yes

  No

  Not assessable

• Fusible link type ?

  Bar

  Pin

  Block

  Not assessable

• Fire barrier / stopping intact ?

  Yes

  No

  Not assessable

• Has the Damper been cleaned, tested and reset?

  Yes

  No

  Not assessable

• Is the Damper operating correctly?

  Yes

  No

  Not assessable

• Is the damper in good condition?

  Yes

  No

  Not assessable

• Photo of damper closed & Open

  Yes

  Not accessible

• Defect Photo's

  Yes

  No

  Not assessable

• Compliant or Non-compliant

  Compliant

  Non-Compliant

  Not Tested

Ductwork

• Level of fouling identified on ductwork

  High

  Medium

  Low

  NA

• Signature

  Sign