Title Page
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Client / Site
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Conducted on
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Prepared by
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Hotel name
Fire Damper
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Damper
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Manufacturer
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Size of damper
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System associated with damper
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Asset number
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Primary location of damper?
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Is the damper Accessible for maintenance ?
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Is the damper fitted correctly ?
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Fusible link type ?
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Fire barrier / stopping intact ?
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Has the Damper been cleaned, tested and reset?
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Is the Damper operating correctly?
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Is the damper in good condition?
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Photo of damper closed & Open
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Defect Photo's
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Compliant or Non-compliant
Ductwork
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Level of fouling identified on ductwork
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Signature