Information
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Client / Site
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Location
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Conducted on
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Prepared by
Checklist
Tolerances
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Incorrect clearance (top of door to frame)
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Incorrect clearance (hinge edge to frame)
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Incorrect clearance (lock edge to frame)
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Incorrect clearance (door bottom to floor)
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Incorrect clearance (between pairs of doors)
Door Frame
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Loose frame
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Damaged frame
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Rust-through on frame
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Missing label on edge of frame
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Door frame is out of alignment
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Incorrect glass in the sidelight or in the transom light
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Broken glass in sidelight or in the transom light
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Missing glazing bead seam at light(s)
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Missing glazing bead seam at screw(s)
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Improper field modifications made to door frame
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Incorrect hardware preparation on frame
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Unused fastener hole(s) on door frame
Door
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Missing door(s)
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Missing label on edge do door
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Damaged door(s)
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Rust-through on door(s)
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Delamination of door skin or door face
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Incorrect glass in light(s)
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Broken glass in light(s)
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Light(s) are too large for the door
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Loose light kit
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Missing light kit screw(s)
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Improper field modification
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Incorrect hardware preparation
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Unused fastener hole(s) in door(s)
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Improper plant-ons
Operational Test
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Door does not swing freely
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Door does not close completley
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Door does not securely latch
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Electric door release does not allow door to close
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Door bottom drags against floor material
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Door rubs against frame
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Edges of paired doors not functioning properly
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Coordinator does not function properly
Hinges / Pivots
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Missing hinge(s)
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Incorrect hinge(s)
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Loose hinge(s)
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Missing screw(s)
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Replace hinge(s)
Door Bolts
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Missing top flush bolt
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Missing bottom flush bolt
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Missing strike ( top bolt )
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Missing strike ( bottom bolt )
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Bottom bolt does not engage strike
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Missing bolt head ( top )
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Missing bolt head ( bottom )
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Missing rub plate(s)
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Incorrect type of flush bolt(s)
Locks
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Missing lock
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Incorrect latch bolt throw
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Non fire-rated latch bolt
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Latch bolt binds
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Latch bolt missing
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Loose lever(s) or knob(s)
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Latch bolt does not engage strike
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Missing strike plates
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Missing screw(s)
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Missing flush bolt(s)
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Missing flush bolt strike(s)
Fire Exit Hardware
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Missing fire rated exit devices
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Missing latch bolt assembly ( top )
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Missing latch bolt assembly ( bottom )
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Missing strike(s)
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Issing vertical rod ( top )
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Missing vertical rod ( bottom )
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Push bar does not extend halfway across door width
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Non fire-rated panic hardware (dogging)
Door Closers
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Missing door closer(s)
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Leaking door closer(s)
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Missing arm(s)
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Bent arm(s)
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Missing closer(s)
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Does not close door completely
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Missing screw(s)
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Missing drop and/or adaptor plate
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Hold open arm(s)
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Missing coordinator
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Missing carry bar
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Broken coordinator
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Broken carry bar
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Overhead hold open ( surface or concealed )
Miscellaneous
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Missing threshold saddle
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Missing astragal
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Missing or damaged gasketing / smoke seal
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Kick down door holder
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Door wedge
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Door stop with hold open feature (manual)
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Protection plate is too large
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Protection plate installed incorrectly
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Protection plate missing screw(s)
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Signage too large
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Signage installed incorrectly to door
Completion
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Full Name and Signature of Inspector