Title Page
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Conducted on
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Prepared by
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Client name
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Client address
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Site contact
Inspection Details
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Are drawings or previous report available?
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Is a site survey required?
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Are dampers controlled by BMS?
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Are extended ladders or high level platforms required?
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Any other comments?
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Number of dampers to be inspected
Damper Test Data
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Damper location
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Damper asset number
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Damper type
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Mechanical or electrical damper?
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Fire damper secure and in sealed compartment?
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Is an additional access door installed on the other side?
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Damper accessible?
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If No, reason for no access?
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Fusible link intact?
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Give details
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Blades open to inspection?
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Are the damper blades obstructed in any way?
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Give details
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State damper found
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Damper closed
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Damper reset
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Drop test successfully completed and reset?
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Damper cleaned?
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Duct work condition?
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Cleaning required?
