Fire Damper Report

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Fire Damper

• Photo of damper

  Media

• Manufacturer

• Model

• Which AHU is the fire damper linked to?

• Asset number

• Primary location of damper?

• Photo of location

  Media

• Secondary location of damper?

• Is the damper in good condition?

  Yes

  No

  N/A

• Has a none activated functional test been carried out to verify operation?

• Additional comments

• Additional photo's

  Media