Title Page

  • Site conducted

  • Document Number

  • Conducted on

  • Prepared by

  • Location
  • Picture of Building

Fire Door Inspection

  • Jackson - Fire & Security: Fire Door Inspection

  • Door (Full Inspection)
  • Door ID:

  • Picture of Door (Outside)

  • Picture of Door (Inside)

  • Door Access?

  • Door Rating:

  • Location:

  • Door Dimensions (in mm's)

  • Door Material:

  • Frame Material:

  • Wall Structure Type:

  • Door Set:

  • Frame Passed?

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Ironmongery Present?

  • Type:

  • Ironmongery Passed?

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Locks Passed?

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Vision Panels Present?

  • Size (in mm's)

  • Glass Type:

  • Glass Passed?

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Hinges Passed?

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Seals Passed?

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Door Closer Present?

  • Door Closer Type:

  • Model (If Known)

  • Door Closer Passed?

  • PLEASE NOTE: Concealed Door Closers cannot be adjusted, if adjustment is required please suggest replacement with overhead door closer.

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Is a Door Closer Required?

  • Structure Passed?

  • Reason for failure:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Signage Passed?

  • Reason for failure:

  • Signage Type Required:

  • Additional Comments:

  • Additional Comments:

  • Additional Comments:

  • Gaps Passed?

  • Reason for failure:

  • Size of Gap (Under Door) in mm's:

  • Size of Gap (Under Door) in mm's:

  • Size of Gap (Hinge Side) in mm's:

  • Size of Gap (Lock Side) in mm's:

  • Size of Gap (Top Side) in mm's:

  • Additional Information & Comments:

  • Additional Comments:

  • Additional Comments:

  • Door Passed?

  • Inspector Comments:

  • Inspector Comments:

  • Inspector Comments:

  • Door (Quarterly Inspection)
  • Door ID:

  • Is a Fire Door?

  • Is a Nominal Fire Door?

  • Appropriate Signage?

  • Comment:

  • Comment:

  • Door Damaged or Defective? (Visually)

  • Comment:

  • Comment:

  • Frame Damaged and Defective? (Visually)

  • Comment:

  • Comment:

  • Self Closer Functional & Present?

  • Comment:

  • Comment:

  • All gaps visually within tolerance?

  • Comment:

  • Comment:

  • Are intumescent strips and smoke strips damaged?

  • Comment:

  • Comment:

  • Hold-Open Device Functional?

  • Comments:

  • Double Door Close Correctly in Sequence?

  • Comment:

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