Fire & Smoke Doors Inspection Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• This template was created by Fire Safety Australia, please visit www.firesafetyaustralia.com.au
  http://wwww.firesafetyaustralia.com.au

Door Type:

• Fire Doors

• Smoke Doors

Type of Service or Action Taken:

• Type of service or action taken

  Select Type 1 - Monthly Type 2 - Annual Quarterly Inspection Six Monthly Inspection Annual Inspection Repairs

  • Type 1 - Monthly
  • Type 2 - Annual
  • Quarterly Inspection
  • Six Monthly Inspection
  • Annual Inspection
  • Repairs

Fire / Smoke Door-Set Faults List:

• Door Type, Location & Number

• Fault & Remedy

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

• Door Type, Location & Number

• Identify fault & remedial action required

  Safe

  At Risk

  N/A

Sign Off:

• Technician Name & Signature

  Sign